Jennifer Picou, BA, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-11-4064 Issued in FL

Practice address

6314 Corporate CT Ste 120
Fort Myers, FL 33919-3516

Phone

(239) 690-5200

Fax

(239) 690-5202

NPI assigned

Jun 28, 2012

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

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Devereux Foundation

  • Community Health Clinic/Center
  • Fort Myers, FL
  • NPI 1952659252
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1184988719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 CORPORATE CT STE 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193516",
            "telephone_number": "239-690-5200",
            "fax_number": "239-690-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 CORPORATE CT STE 120",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193516",
            "telephone_number": "239-690-5200",
            "fax_number": "239-690-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICOU",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "BA, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-11-4064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD, INC",
            "identifier": "0-11-4064",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Richard Piano, DDS
• Avery Ryann Piatt
• Picasso Aesthetic and Cosmetic Dental Spa PA
• Albania Pichardo
• Dawn Marie Picotte, MD
• William Henry Pierce III, LPTA
• Zoe Pierce
• Jenifer Pieroni, RN
• Yohana Pierre Villarroel
• Frantz Pierre-Louis, DDS

• Behavior Analyst in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.