Individual provider Active NPI

Hanna Jones

  • Behavior Technician
  • Bend, OR
National Provider Identifier
1366048670
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
ABA-IN-10210939 Issued in OR
Practice address
19800 Village Office CT Ste 104
Bend, OR 97702-1813
Phone
(541) 306-3483
Fax
(541) 639-8909
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 ABA-IN-10210939 OR Primary

Addresses

Primary practice location

19800 Village Office CT Ste 104
Bend, OR 97702-1813

Mailing address

19800 Village Office CT Ste 104
Bend, OR 97702-1813
Phone (541) 306-3483

Other identifiers 1

IdentifierTypeStateIssuer
ABA-IN-10210939OtherORSTATE REGISTRATION

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
ABA-IN-10210939ORMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Behavioral Intervention, LLC PastSince Dec 13, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1366048670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19800 VILLAGE OFFICE CT STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021813",
            "telephone_number": "541-306-3483",
            "fax_number": "541-639-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 VILLAGE OFFICE CT STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021813",
            "telephone_number": "541-306-3483",
            "fax_number": "541-639-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "ABA-IN-10210939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTRATION",
            "identifier": "ABA-IN-10210939",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.