Jennifer Koger, MS, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-000765 Issued in AZ

Practice address

2489 E Olivine Rd
San Tan Valley, AZ 85143-4903

Phone

(562) 955-9928

NPI assigned

Apr 16, 2019

Sex

Female

Sole proprietor

Yes

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

Master of Science

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 and National Provider Directory roles.

• Phoenix Autism Center, LLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1922718683
  NPD (past)
• Advancement for Behavioral & Educational Development & Intervention

  • Behavior Analyst
  • Tustin, CA
  • NPI 1144598467
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1194388025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 E OLIVINE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434903",
            "telephone_number": "562-955-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 E OLIVINE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851434903",
            "telephone_number": "562-955-9928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 N Gilbert Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852343472",
            "country_code": "US",
            "telephone_number": "480-559-8089",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 N Fonda St",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906314935",
            "country_code": "US",
            "telephone_number": "714-955-9928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Centennial Way",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927803714",
            "country_code": "US",
            "telephone_number": "949-250-1101",
            "fax_number": "949-250-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOGER",
        "first_name": "JENNIFER",
        "credential": "MS, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-20-44645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Kilbourne
• Molly King
• Kimberly Kisner, COTA/L
• Evan Klees, R EEG T.
• Cynthia Kober, PHARMD
• Cassandra Korth, CNM
• Alyssa Noel Lemere Kowalchuk
• Lauren Elaine Kuehn, RN
• Gresheene Dea Kuhn, NP
• Rahul Kumar, MD, MBBS

• Behavior Analyst in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.