Active NPI
Jennie Long
- Behavior Analyst
- Valencia, CA
National Provider Identifier
1407394760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-24470
- Practice address
- 27907 Smyth Dr
Valencia, CA 91355-4034 - Phone
- (661) 843-1901
- Fax
- (661) 775-2705
- NPI assigned
- Feb 7, 2017
- Last updated
- Feb 7, 2017
- Sex
- Female
- 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 Analyst | 103K00000X | 1-16-24470 | CA | Primary |
Addresses
Primary practice location
27907 Smyth Dr
Valencia, CA 91355-4034
Mailing address
27907 Smyth Dr
Valencia, CA 91355-4034
Phone (661) 843-1901
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": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1407394760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27907 SMYTH DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554034",
"telephone_number": "661-843-1901",
"fax_number": "661-775-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27907 SMYTH DR",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554034",
"telephone_number": "661-843-1901",
"fax_number": "661-775-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "JENNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-16-24470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.