Active NPI
Jenna Beatrice Wong
- Behavior Analyst
- Warren, RI
National Provider Identifier
1184193906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LABA10001140
- Practice address
- 91 Main St
Warren, RI 02885-4420 - Phone
- (401) 331-5651
- NPI assigned
- Nov 21, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LABA10001140 | MA | Primary |
| Behavior Analyst | 103K00000X | LBA00530 | RI |
Addresses
Primary practice location
91 Main St
Warren, RI 02885-4420
Mailing address
91 Main St Ste 115
Warren, RI 02885-4437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LABA10001140 | MA | MD | Behavioral Analyst |
| LBA00530 | RI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1184193906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 MAIN ST STE 115",
"city": "WARREN",
"state": "RI",
"postal_code": "028854437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 MAIN ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028854420",
"telephone_number": "401-331-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "JENNA",
"middle_name": "BEATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-21",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "LABA10001140",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "LBA00530",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.