Individual provider Active NPI

Jennifer Ann Barcellona, BCBA

  • Behavior Analyst
  • Boise, ID
National Provider Identifier
1235884479
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-57937 Issued in ID
Practice address
3366 E Trifecta LN
Boise, ID 83716-7195
Phone
(925) 858-1433
NPI assigned
Feb 16, 2022
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-57937 ID Primary

Addresses

Primary practice location

3366 E Trifecta LN
Boise, ID 83716-7195

Mailing address

3366 E Trifecta LN
Boise, ID 83716-7195
Phone (925) 858-1433

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

Practice roles

OrganizationSpecialtyStatusNew patients
What the Function- Behavior Consulting LLC CurrentSince Jan 1, 2024 Accepting new patients
Jennifer Barcellona, Bcba Services LLC CurrentSince Nov 27, 2022 Accepting new patients
OT 4 Kidz, Inc PastSince Feb 1, 2022 Accepting new patients
OT 4 Kidz, Inc PastSince Mar 20, 2022 Accepting new patients

Locations

106 N 6th St
Ste 211
Boise, ID 83702
Phone (208) 918-0288

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1235884479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 E TRIFECTA LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167195",
            "telephone_number": "925-858-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 E TRIFECTA LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167195",
            "telephone_number": "925-858-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELLONA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ID",
            "license": "1-22-57937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.