Sonny Jenkins

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA0440 Issued in MN

Practice address

4140 Richard Ave
Hermantown, MN 55811-2869

Phone

(507) 353-2536

NPI assigned

Nov 9, 2020

Last updated

Oct 16, 2025By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Accend Services Incorporated

  • Adult Mental Health Clinic/Center
  • Duluth, MN
  • NPI 1417023458
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1184226839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE STE 200&300",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112869",
            "telephone_number": "218-514-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 RICHARD AVE",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112869",
            "telephone_number": "507-353-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SONNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MN",
            "license": "LBA0440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588993091",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Hunter Hyjek
• Pamela J Idziorek, RNNP
• Christiana Nwanneka Igwe
• Gabriella Louise Jacoby
• Elizabeth A Jatzo
• Jessica Podpeskar
• Abby Pershke Johnson, DDS
• Emily Jean Johnson
• Kaia Mae Johnson, BS
• Katlen Marie Johnson

• Behavior Analyst in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.