Jody Slendebroek, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-9974 Issued in CA

Practice address

2560 9TH Street Suite 220a
Ste Consultants LLC
Berkeley, CA 94710

Phone

(510) 665-9700

Fax

(510) 665-9400

NPI assigned

Mar 23, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ste Consultants, LLC

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1609198175
  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1245624832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 BARNER AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946023414",
            "telephone_number": "707-315-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 9TH STREET SUITE 220A",
            "address_2": "STE CONSULTANTS LLC",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94710",
            "telephone_number": "510-665-9700",
            "fax_number": "510-665-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLENDEBROEK",
        "first_name": "JODY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-9974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Skinner
• Shoshana Sklare
• Ivan Skolnikoff, M.A.
• John Skovran, D.O.
• Mila Skylar
• Alexandra Riva Sloan
• Jason J. Sloan, MD
• Sara M Sloan, RN
• Stacia Sloane, DO
• Nathan Jackson Slowey, PHARMD

• Behavior Analyst in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.