Active NPI
Jamie Verret, M.S.
- Assistant Behavior Analyst
- Tampa, FL
National Provider Identifier
1437666419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-21-11868
- Practice address
- 2204 N Ridgewood Ave
Tampa, FL 33602-1826 - Phone
- (202) 977-7169
- NPI assigned
- Dec 29, 2017
- Last updated
- Feb 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-21-11868 | FL | Primary |
| Behavior Technician | 106S00000X | BACB306774 | DC | |
| Behavior Technician | 106S00000X | DC |
Addresses
Primary practice location
2204 N Ridgewood Ave
Tampa, FL 33602-1826
Mailing address
2204 N Ridgewood Ave
Tampa, FL 33602-1826
Phone (202) 977-7169
Other practice location 1
8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone (888) 261-1110
Other practice location 2
3453 14th St NW Apt 5
Washington, DC 20010-3400
Phone (337) 366-7290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BACB306774 | Other | LA | APPLIED BEHAVIOR ANALYSIS |
| 113072700 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB306774 | DC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1437666419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 N RIDGEWOOD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336021826",
"telephone_number": "202-977-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 N RIDGEWOOD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336021826",
"telephone_number": "202-977-7169"
}
],
"practiceLocations": [
{
"address_1": "8403 Colesville Rd Ste 1100",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209106346",
"country_code": "US",
"telephone_number": "888-261-1110",
"fax_number": "866-696-7991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3453 14th St NW Apt 5",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103400",
"country_code": "US",
"telephone_number": "337-366-7290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERRET",
"first_name": "JAMIE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-21-11868",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "DC",
"license": "BACB306774",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "DC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLIED BEHAVIOR ANALYSIS",
"identifier": "BACB306774",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113072700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.