Individual provider Active NPI

Jemima Kezia Quintana Parungao, MA BCBA LBS LBA

  • Behavior Analyst
  • Mount Laurel, NJ
National Provider Identifier
1528623089
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
15000 Commerce Pkwy Ste C
Mount Laurel, NJ 08054-2212
Phone
(877) 803-1830
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-76273 PA
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

15000 Commerce Pkwy Ste C
Mount Laurel, NJ 08054-2212

Mailing address

542 Amherst St
Nashua, NH 03063-1016
Phone (856) 827-7630

Other practice location 1

301 E City Ave Ste 210
Bala Cynwyd, PA 19004-1734
Phone (856) 827-7630

Other names 1

  • Jemima Kezia Quintana Perez Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT-19-76273PAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Gentlecare Therapy LLC Behavior Analyst Past Accepting new patients
ABA Centers of New Jersey LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1528623089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631016",
            "telephone_number": "856-827-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 COMMERCE PKWY STE C",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542212",
            "telephone_number": "877-803-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E City Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041734",
            "country_code": "US",
            "telephone_number": "856-827-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "JEMIMA KEZIA",
        "middle_name": "QUINTANA",
        "credential": "MA BCBA LBS LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "PA",
            "license": "RBT-19-76273",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEMIMA KEZIA",
            "last_name": "PEREZ",
            "middle_name": "QUINTANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.