Individual provider Active NPI

Jennifer C Darden

  • Behavior Technician
  • Chandler, AZ
National Provider Identifier
1275398125
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1052822 Issued in AZ
Practice address
4240 S Arizona Ave Ste 1039
Chandler, AZ 85248-4593
Phone
(602) 935-9185
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1052822 AZ Primary

Addresses

Primary practice location

4240 S Arizona Ave Ste 1039
Chandler, AZ 85248-4593

Mailing address

2510 E Meadow Land Dr
Queen Creek, AZ 85140-5632
Phone (520) 431-3338

Other practice location 1

2510 E Meadow Land Dr
Queen Creek, AZ 85140-5632
Phone (520) 431-3338

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

State licenses

LicenseStateTypeSpecialty
BACB1052822AZMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Therapy Services CurrentSince Feb 25, 2024 Accepting new patients

Locations

4240 S Arizona Ave
Chandler, AZ 85248
Phone (480) 980-2774

Organizations & group practices 1

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1275398125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E MEADOW LAND DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851405632",
            "telephone_number": "520-431-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 S ARIZONA AVE STE 1039",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484593",
            "telephone_number": "602-935-9185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 E Meadow Land Dr",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851405632",
            "country_code": "US",
            "telephone_number": "520-431-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARDEN",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "BACB1052822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.