The Jeremiah Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THE JEREMIAH CENTER, LLC

Practice address

23511 Sonoma Valley Dr
Magnolia, TX 77355-2038

Phone

(281) 804-2257

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Bortnem, M.ED., BCBANPI 1033459367

Title

Board Certified Behavior Analyst

Phone

(281) 804-2257

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Beth Bortnem, M.ED., BCBA

  • Behavior Analyst
  • Magnolia, TX
  • NPI 1033459367
  NPD (past) Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1245762210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23511 SONOMA VALLEY DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773552038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 SONOMA VALLEY DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773552038",
            "telephone_number": "281-804-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEREMIAH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "BORTNEM",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "281-804-2257",
        "authorized_official_credential": "M.ED., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temple Faculty Practice Plan, Inc (Temple Faculty Radiology Texas)
• Edward L Terrasson, MD
• Texas Minor Emergency Center, LP
• Texas Performance Projects Inc
• Texas Professional Pharmacy LLC (Texas Professional Pharmacy- Magnolia)
• The One, Neal's Consultants, LLC
• The Urgent Care Associates of Texas, PLLC
• The Woodlands Family Counseling Center, PLLC
• Theragene Diagnostics LLC
• Therapy and Beyond of South Texas, LLC

• Behavior Analyst in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.