Individual provider Active NPI

Joni Lee Reeves-Woodruff, BCBA

  • Behavior Analyst
  • Wesley Chapel, FL
National Provider Identifier
1376094052
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-23294 Issued in FL
Practice address
5814 Old Pasco Rd
Wesley Chapel, FL 33544-4011
Phone
(908) 938-1577
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-23294 FL Primary
Behavior Analyst 103K00000X 1-16-23294

Addresses

Primary practice location

5814 Old Pasco Rd
Wesley Chapel, FL 33544-4011

Mailing address

28091 White Dove Dr
Brooksville, FL 34602-7175
Phone (856) 503-8004

Other practice location 1

28091 White Dove Dr
Brooksville, FL 34602-7175
Phone (856) 503-8004

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

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1376094052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28091 WHITE DOVE DR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027175",
            "telephone_number": "856-503-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 OLD PASCO RD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444011",
            "telephone_number": "908-938-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28091 White Dove Dr",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346027175",
            "country_code": "US",
            "telephone_number": "856-503-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES-WOODRUFF",
        "first_name": "JONI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-16-23294",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-23294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.