Active NPI
Jeffrey Pionkowski, BCBA , MA
- Behavior Analyst
- Eden Prairie, MN
National Provider Identifier
1215343272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 018-MUL
- Practice address
- 8782 Hawthorne Dr
Eden Prairie, MN 55347-1714 - Phone
- (612) 382-2102
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- 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 | 018-MUL | MN | Primary |
Addresses
Primary practice location
8782 Hawthorne Dr
Eden Prairie, MN 55347-1714
Mailing address
8782 Hawthorne Dr
Eden Prairie, MN 55347-1714
Phone (612) 382-2102
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018-MUL | MN | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1215343272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8782 HAWTHORNE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471714",
"telephone_number": "612-382-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8782 HAWTHORNE DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471714",
"telephone_number": "612-382-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIONKOWSKI",
"first_name": "JEFFREY",
"credential": "BCBA , MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2024-01-08",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "018-MUL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
- Bridget Ann Pikkarainen, CNP
- Pillars Behavioral Health
- Jenna Kate Pinoniemi
- Pioneeer Estates
- Pioneer Care LLC (Pioneer Estates)
- Nevaeh Fae Pitts-Nelson
- Sarah Renee Pivec, OTR/L
- Lisa Pivotto Kroening, CPNP
- Planned Parenthood Minnesota, North Dakota, South Dakota
- Platinum Ventures (Housecalls Network)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.