Active NPI
Jenna Hilton Reynolds, BCBA
- Behavior Analyst
- Jacksonville, NC
National Provider Identifier
1578078713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 217 Station St
Jacksonville, NC 28546-6304 - Phone
- (910) 378-2501
- NPI assigned
- Dec 11, 2017
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
217 Station St
Jacksonville, NC 28546-6304
Mailing address
407 N Ponzer CT
Holly Ridge, NC 28445-7509
Phone (252) 917-1085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103K00000X | Other | VA | BEHAVIOR ANALYST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1578078713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 N PONZER CT",
"city": "HOLLY RIDGE",
"state": "NC",
"postal_code": "284457509",
"telephone_number": "252-917-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 STATION ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466304",
"telephone_number": "910-378-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JENNA",
"middle_name": "HILTON",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST",
"identifier": "103K00000X",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
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- Reliable Prosthetics and Orthotics LLC
- Resolutions Counseling and Mediation Services, PLLC
- Reviving Wellness and Mental Health, PLLC
- Kayriz Reyes Rodriguez
- Rha Behavioral Health NC LLC
- Rha Behavioral Health NC LLC
- Rha Health Services Inc
- Rha Health Services Inc
- Rha Health Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.