Individual provider Active NPI

Jamie Verret, M.S.

  • Assistant Behavior Analyst
  • Tampa, FL
National Provider Identifier
1437666419
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-11868 Issued in FL
Practice address
2204 N Ridgewood Ave
Tampa, FL 33602-1826
Phone
(202) 977-7169
NPI assigned
Dec 29, 2017
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BACB306774OtherLAAPPLIED BEHAVIOR ANALYSIS
113072700MedicaidFL

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

LicenseStateTypeSpecialty
BACB306774DCMDBehavior 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.

Verify at the official NPI Registry.