NPIMap

Organization Active NPI

Behavior and Education Support Services, LLC

  • Behavior Analyst
  • Collegeville, PA
National Provider Identifier
1447693023
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-11-8623
Legal business name
BEHAVIOR AND EDUCATION SUPPORT SERVICES, LLC
Practice address
4462 Buck Hollow Rd
Collegeville, PA 19426-4182
Phone
(215) 527-2124
NPI assigned
Apr 12, 2013
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Melissa Jernigan, BCBANPI 1043569320
Title
President
Phone
(215) 527-2124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-11-8623 Primary

Addresses

Primary practice location

4462 Buck Hollow Rd
Collegeville, PA 19426-4182

Mailing address

4462 Buck Hollow Rd
Collegeville, PA 19426-4182
Phone (215) 527-2124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1447693023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4462 BUCK HOLLOW RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264182",
            "telephone_number": "215-527-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4462 BUCK HOLLOW RD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264182",
            "telephone_number": "215-527-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR AND EDUCATION SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-527-2124",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-11-8623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.