Active NPI
Jennifer Nimalan
- Behavior Technician
- Windsor Mill, MD
National Provider Identifier
1316656606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7131 Ambassador Rd Ste 150
Windsor Mill, MD 21244-3077 - Phone
- (443) 316-9881
- NPI assigned
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
7131 Ambassador Rd Ste 150
Windsor Mill, MD 21244-3077
Mailing address
306 N Kensington Ave
La Grange Park, IL 60526-1870
Other practice location 1
306 N Kensington Ave
LA Grange Park, IL 60526-1870
Phone (312) 914-0611
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Autism Services | Current | Accepting new patients | |
| Early Autism Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1689295958
-
- Behavior Analyst
- Countryside, IL
- NPI 1700130713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1316656606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 N KENSINGTON AVE",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605261870",
"fax_number": "312-929-0324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7131 AMBASSADOR RD STE 150",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212443077",
"telephone_number": "443-316-9881"
}
],
"practiceLocations": [
{
"address_1": "306 N Kensington Ave",
"address_purpose": "LOCATION",
"city": "LA Grange Park",
"state": "IL",
"postal_code": "605261870",
"country_code": "US",
"telephone_number": "312-914-0611",
"fax_number": "312-929-0234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIMALAN",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Mill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.