Jillah Moede, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-235103

Practice address

8011 Philips Hwy Ste 10
Jacksonville, FL 32256-7459

Phone

(904) 928-0112

NPI assigned

Sep 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1497477145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 SOLERA TER UNIT 624",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114420",
            "telephone_number": "770-910-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 PHILIPS HWY STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567459",
            "telephone_number": "904-928-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEDE",
        "first_name": "JILLAH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-235103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Modi
• Devanshi Mody, M.D.
• Kabir Mody, M.D.
• Nisha Mody, DMD
• Leda Moe, APRN
• Renata Araujo Moen, APRN
• Matthew Moench, MD
• David Clark Moenning, LMFT
• Karen Moers, DPT
• Megan H Moffatt, PA

• Behavior Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.