NPIMap

Individual provider Active NPI

Jennifer Abdullah, M.ED

  • Behavior Analyst
  • Bee Cave, TX
National Provider Identifier
1558728832
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
12600 Hill Country Blvd Ste R-100
Bee Cave, TX 78738-6748
Phone
(512) 767-6026
NPI assigned
Jan 18, 2016
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

12600 Hill Country Blvd Ste R-100
Bee Cave, TX 78738-6748

Mailing address

901 S Mopac Expy
Building 1 Suite 300
Austin, TX 78746

Other practice location 1

877 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94596-3878
Phone (925) 482-3330 ext. 222

Other practice location 2

901 S Mopac Expy
Building 1 Suite 300
Austin, TX 78746
Phone (949) 547-6820

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 Education

Practice roles

OrganizationSpecialtyStatusNew patients
Cielo Behavioral Health Behavior Analyst Current Accepting new patients
First Steps for Kids, Inc. Past Accepting new patients
Firststeps for Kids Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1558728832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MOPAC EXPY",
            "address_2": "BUILDING 1 SUITE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD STE R-100",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386748",
            "telephone_number": "512-767-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 Ygnacio Valley Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963878",
            "country_code": "US",
            "telephone_number": "925-482-3330 x222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S Mopac Expy",
            "address_2": "Building 1 Suite 300",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78746",
            "country_code": "US",
            "telephone_number": "949-547-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAH",
        "first_name": "JENNIFER",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.