Active NPI
Jada Peterson
- Behavior Technician
- Panama City, FL
National Provider Identifier
1356141592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2924 Kings Rd
Panama City, FL 32405-2016 - Phone
- (850) 248-1057
- Fax
- (850) 254-2969
- NPI assigned
- Mar 17, 2025
- Last updated
- Mar 17, 2025
- Sex
- Unspecified or another gender identity
- 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
2924 Kings Rd
Panama City, FL 32405-2016
Mailing address
5837 Callaway Cir
Panama City, FL 32404-3237
Phone (850) 252-7123
Other practice location 1
700 W 23rd St Ste B-20
Panama City, FL 32405-3936
Phone (850) 248-1057
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 |
|---|---|---|---|
| Therapy Junction Inc. | Current | Accepting new patients |
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": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1356141592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5837 CALLAWAY CIR",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324043237",
"telephone_number": "850-252-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 KINGS RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052016",
"telephone_number": "850-248-1057",
"fax_number": "850-254-2969"
}
],
"practiceLocations": [
{
"address_1": "700 W 23rd St Ste B-20",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324053936",
"country_code": "US",
"telephone_number": "850-248-1057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "JADA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.