Active NPI
Jessica Lynn Eoff
- Behavior Technician
- Weatherford, TX
National Provider Identifier
1558984039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-113352
- Practice address
- 707 Dalton St
Weatherford, TX 76086-1847 - Phone
- (817) 849-4435
- NPI assigned
- May 19, 2020
- 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 | RBT-20-113352 | TX | Primary |
Addresses
Primary practice location
707 Dalton St
Weatherford, TX 76086-1847
Mailing address
707 Dalton St
Weatherford, TX 76086-1847
Phone (817) 849-4435
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-113352 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1558984039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 DALTON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760861847",
"telephone_number": "817-849-4435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 DALTON ST",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760861847",
"telephone_number": "817-849-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EOFF",
"first_name": "JESSICA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-20-113352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, TX
- Emcc Weatherford ER Physicians, PLLC
- Emcc Weatherford ER, LLC (Surepoint Emergency Center Weatherford)
- Empicare, Inc.
- Lea Andrea Engeldinger
- Lee Patrick Enright, M. D.
- Bruce Nelson Epker, DDS, MSD, PHD
- Enith Espinosa Palmett
- Essential Dermatology and Cosmetic Surgery PLLC
- Euene P Sholdra M. D. P.a
- Diane Eunice, LMFT-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.