Leahann Michelle Jenkins, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB651493 Issued in VA

Practice address

2606 Aventura Blvd Apt 410
Land O Lakes, FL 34638-8236

Phone

(434) 386-7466

NPI assigned

Jun 1, 2021

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 names 1

• Leahann Michelle Holloway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1194391102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 AVENTURA BLVD APT 410",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388236",
            "telephone_number": "434-386-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 AVENTURA BLVD APT 410",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346388236",
            "telephone_number": "434-386-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "LEAHANN",
        "middle_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "BACB651493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAHANN",
            "last_name": "HOLLOWAY",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• JD the OT
• Yves Nemours Jean-Baptiste Jr., MD
• Jeanne Sellers, D.C., P.a.
• Jeanne Sellers, D.C., P.a.
• Debra C Jeffries, MD
• Rachel Jenkins
• Jennifer Richardson PSYD, PA
• Jeremy Schmitt
• Marleina Jimenez, RBT
• Samantha Lynn Johnson, ARNP

• Behavior Technician in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.