Jacqueline Edgerton, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9150 SW 21St Dr
Stuart, FL 34997-7925

Phone

(844) 299-2599

Fax

(772) 247-7251

NPI assigned

Oct 15, 2017

Last updated

Oct 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Treasure Coast ABA Services

  • Behavior Analyst
  • Palm City, FL
  • NPI 1194252163
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508025600000",
    "number": "1184135303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 SW 21ST DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977925",
            "telephone_number": "844-299-2599",
            "fax_number": "772-247-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 SW 21ST DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977925",
            "telephone_number": "844-299-2599",
            "fax_number": "772-247-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "JACQUELINE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-15",
        "last_updated": "2017-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Echlin Donan, LMHC
• Kimberly Eck, LCSW
• Ashley Eckerstorfer
• Alan C Eddison, ARNP
• Daniel Scott Edelman, DO
• Jamelia Edison
• Corlene Marie Edlund-Chen, L.AP
• Vanessa Edmond
• Steven X Edney, PSY. D.
• Annie Edwards

• Behavior Technician in Stuart, FL
• Providers in Stuart, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.