NPIMap

Organization Active NPI

Jennifer S. Underwood, Bcba

  • Behavior Analyst
  • Montgomery, AL
National Provider Identifier
1396016424
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4552 Issued in AL
Legal business name
JENNIFER S. UNDERWOOD, BCBA
Practice address
1831 Brackenbury PL
Montgomery, AL 36117-1753
Phone
(334) 790-7460
NPI assigned
Jan 20, 2012
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Mrs. Jennifer Sonmor Underwood, BCBANPI 1003044959
Title
Behavior Analyst
Phone
(334) 790-7460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-08-4552 AL Primary

Addresses

Primary practice location

1831 Brackenbury PL
Montgomery, AL 36117-1753

Mailing address

1831 Brackenbury PL
Montgomery, AL 36117-1753
Phone (334) 790-7460

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1396016424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 BRACKENBURY PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171753",
            "telephone_number": "334-790-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 BRACKENBURY PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171753",
            "telephone_number": "334-790-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER S. UNDERWOOD, BCBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "SONMOR",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "334-790-7460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-08-4552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.