Individual provider Active NPI

Haley Marie Jamrog, M.S, BCBA

  • Behavior Analyst
  • Johns Island, SC
National Provider Identifier
1548624844
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3301 Issued in MA
Practice address
530 Linger Longer Dr Unit 3301
Johns Island, SC 29455-3198
Phone
(860) 951-9267
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 3301 MA Primary

Addresses

Primary practice location

530 Linger Longer Dr Unit 3301
Johns Island, SC 29455-3198

Mailing address

530 Linger Longer Drive
Apt 3301
Johns Island, SC 29455
Phone (860) 951-9267

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 Science

State licenses

LicenseStateTypeSpecialty
3301MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Everyday Analyst LLC Behavior Analyst CurrentSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1548624844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 LINGER LONGER DRIVE",
            "address_2": "APT 3301",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "29455",
            "telephone_number": "860-951-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 LINGER LONGER DR UNIT 3301",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553198",
            "telephone_number": "860-951-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMROG",
        "first_name": "HALEY",
        "middle_name": "MARIE",
        "credential": "M.S, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.