Jennifer Lyn Newstrom

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-78668

Practice address

8100 Opportunity Dr # B
Milton, FL 32583-8727

Phone

(850) 723-6570

NPI assigned

Mar 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Lyn Cole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Greater Pensacola Behavior Services Inc

  • Behavior Analyst
  • Milton, FL
  • NPI 1528465150
  NPD
• Greater Pensacola Behavior Services Inc

  • Behavior Analyst
  • Pensacola, FL
  • NPI 1538732813
  NPD

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735430400000",
    "number": "1386942365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 OPPORTUNITY DR STE B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325838727",
            "telephone_number": "850-723-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OPPORTUNITY DR # B",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325838727",
            "telephone_number": "850-723-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSTROM",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-24-78668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COLE",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin P. Neel
• Lidia Nenciu, APRN
• Destiny Nettles, CRDH
• Colynthia Cyna Neville
• Susan Gail Newman, LCSW
• Kim L Nguyen, PHARMD
• NHC Pensacola
• Claudia Sorrells Nichols, LCSW
• Marsha Cook Nichols, APRN
• David P Nicholson, MD

• Behavior Analyst in Milton, FL
• Providers in Milton, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.