Johnathan Ramon Elliott Jr.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

163 Bowdoin St
Springfield, MA 01109-4050

Phone

(413) 364-5790

NPI assigned

Oct 29, 2018

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1548737596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BOWDOIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094050",
            "telephone_number": "413-364-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 BOWDOIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011094050",
            "telephone_number": "413-364-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JOHNATHAN",
        "middle_name": "RAMON",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordanne Xavia Ellington
• Jessica Tatiana Elliot, PMHNP
• Rushawna Elliott-Hunter
• Amanda Elliott
• Barbara J Elliott, CRNA
• Ana Teresa Ellis
• Diante Ellis
• Kathryn Elizabeth-Mary Ellis
• Thomas Ellis
• Ahmed Eltanbedawi, MD

• Behavior Analyst in Springfield, MA
• Providers in Springfield, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.