Active NPI
Jenipher A Swanson, MA, BCBA
- Behavior Analyst
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8698
- Practice address
- 4801 Montano Rd NW Ste A2
Albuquerque, NM 87120-2423 - Phone
- (505) 336-0560
- NPI assigned
- Jun 19, 2012
- Last updated
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-8698 | CA | Primary |
Addresses
Primary practice location
4801 Montano Rd NW Ste A2
Albuquerque, NM 87120-2423
Mailing address
PO Box 663
Lakeland, MI 48143-0663
Phone (810) 599-2129
Other practice location 1
9520 Bluewater Dr.
Pinnckney, MI 48169
Phone (810) 599-2129
Other practice location 2
1239 Rotella St
Newbury Park, CA 91320
Phone (805) 551-7613
Other practice location 3
300 Saint Andrews Rd Ste 407
Saginaw, MI 48638-5977
Phone (989) 401-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Pathways, LLC | Behavior Analyst | Current | Accepting new patients |
| Enhanced Behavioral Respite Inc. | Past | Accepting new patients |
Locations
300 Saint Andrews Rd
Saginaw, MI 48638
Phone (989) 341-3653
300 Saint Andrews Rd
Ste 407
Saginaw, MI 48638
Phone (989) 341-3653
4801 Montano Rd NW
Ste A2
Albuquerque, NM 87120
Phone (505) 336-0560
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Ann Arbor, MI
- NPI 1770838468
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Saginaw, MI
- NPI 1619503356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1164785853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 663",
"city": "LAKELAND",
"state": "MI",
"postal_code": "481430663",
"telephone_number": "810-599-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 MONTANO RD NW STE A2",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871202423",
"telephone_number": "505-336-0560"
}
],
"practiceLocations": [
{
"address_1": "9520 Bluewater Dr.",
"address_purpose": "LOCATION",
"city": "PINNCKNEY",
"state": "MI",
"postal_code": "48169",
"country_code": "US",
"telephone_number": "810-599-2129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1239 Rotella St",
"address_purpose": "LOCATION",
"city": "Newbury Park",
"state": "CA",
"postal_code": "91320",
"country_code": "US",
"telephone_number": "805-551-7613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Saint Andrews Rd Ste 407",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486385977",
"country_code": "US",
"telephone_number": "989-401-9020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "JENIPHER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MA, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-11-8698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.