Active NPI
Jacquelynn Marie Rankine, BCBA
- Behavior Analyst
- Southbury, CT
National Provider Identifier
1205314267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-30371
- Practice address
- 385 Main St S Ste 215
Southbury, CT 06488-4246 - Phone
- (203) 693-4543
- NPI assigned
- Aug 1, 2018
- Last updated
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-30371 | CT | Primary |
Addresses
Primary practice location
385 Main St S Ste 215
Southbury, CT 06488-4246
Mailing address
34 Brighton Rd
Naugatuck, CT 06770-1548
Phone (203) 560-6995
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1205314267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BRIGHTON RD",
"city": "NAUGATUCK",
"state": "CT",
"postal_code": "067701548",
"telephone_number": "203-560-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 MAIN ST S STE 215",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884246",
"telephone_number": "203-693-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKINE",
"first_name": "JACQUELYNN",
"middle_name": "MARIE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-18-30371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.