Individual provider Active NPI

Jeremy Mikhael De Tenorio

  • Behavior Analyst
  • Fort Lee, NJ
National Provider Identifier
1346152188
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
424A Elizabeth St
Fort Lee, NJ 07024-2615
Phone
(201) 509-0152
NPI assigned
Sep 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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 Primary

Addresses

Primary practice location

424A Elizabeth St
Fort Lee, NJ 07024-2615

Mailing address

424A Elizabeth St
Fort Lee, NJ 07024-2615
Phone (201) 509-0152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1346152188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424A ELIZABETH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242615",
            "telephone_number": "201-509-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424A ELIZABETH ST",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242615",
            "telephone_number": "201-509-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE TENORIO",
        "first_name": "JEREMY",
        "middle_name": "MIKHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.