Active NPI
Jacklyn White
- Behavior Technician
- Plano, TX
National Provider Identifier
1518721208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 7160 Preston Rd
Plano, TX 75024-3280 - Phone
- (855) 782-7822
- NPI assigned
- Feb 12, 2024
- Last updated
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TX | Primary |
Addresses
Primary practice location
7160 Preston Rd
Plano, TX 75024-3280
Mailing address
7160 Preston Rd
Plano, TX 75024-3280
Other practice location 1
2404 Yorktown Dr
Plano, TX 75074-5087
Phone (631) 827-0200
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": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1518721208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 PRESTON RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750243280",
"telephone_number": "855-782-7822"
}
],
"practiceLocations": [
{
"address_1": "2404 Yorktown Dr",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750745087",
"country_code": "US",
"telephone_number": "631-827-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "JACKLYN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.