Jo Anne Hall, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-37543 Issued in FL

Practice address

2295 Richard Lee St
Orange Park, FL 32073-8588

Phone

(904) 625-1963

NPI assigned

Aug 27, 2014

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nocal Behavioral Services LLC

  • Behavior Analyst
  • Ponte Vedra, FL
  • NPI 1184084782
  NPD (past)
• Junior Boom ABA LLC

  • Behavior Analyst
  • Brooklyn, NY
  • NPI 1861194490
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1518367572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SUMMER SPRINGS DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683429",
            "telephone_number": "904-625-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 RICHARD LEE ST",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320738588",
            "telephone_number": "904-625-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Corridor Rd",
            "address_2": "Unit 3292",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320047833",
            "country_code": "US",
            "telephone_number": "904-638-6388",
            "fax_number": "904-485-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "JO",
        "middle_name": "ANNE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-37543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Haines, ARNP
• Hair Peace of Mind
• Summer Hales
• Carneysha Hall
• Debra Sue Hall, CNM, ARNP
• Nancy Hall, H.A.S.
• Shelly L Hall, MD
• Mohamed Hussam Hallak
• Nicole Hallick, OTR/L
• Raymond Halstead

• Behavior Analyst in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.