Individual provider Active NPI

Jillian Zyer

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1487147617
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46717 Issued in FL
Practice address
103 S Florida Ave
Lakeland, FL 33801-4619
Phone
(813) 438-8902
Fax
(813) 438-8903
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-20-10851 FL
Behavior Analyst 103K00000X 1-20-46717 FL Primary

Addresses

Primary practice location

103 S Florida Ave
Lakeland, FL 33801-4619

Mailing address

103 S Florida Ave
Lakeland, FL 33801-4619
Phone (813) 438-8902

Other practice location 1

5131 S Florida Ave Ste 1
Lakeland, FL 33813-2514
Phone (813) 438-8902 ext. 81343

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1487147617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014619",
            "telephone_number": "813-438-8902",
            "fax_number": "813-438-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014619",
            "telephone_number": "813-438-8902",
            "fax_number": "813-438-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 S Florida Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132514",
            "country_code": "US",
            "telephone_number": "813-438-8902 x81343",
            "fax_number": "813-438-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYER",
        "first_name": "JILLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-20-10851",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-46717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.