Active NPI
Jina Pierre
- Behavior Technician
- Duluth, GA
National Provider Identifier
1578162913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3675 Crestwood Pkwy NW Ste 472
Duluth, GA 30096-5136 - Phone
- (800) 920-1927
- NPI assigned
- Oct 17, 2020
- Last updated
- Apr 12, 2021
- 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 | Primary |
Addresses
Primary practice location
3675 Crestwood Pkwy NW Ste 472
Duluth, GA 30096-5136
Mailing address
7809 Juniper St
Miramar, FL 33023-5844
Phone (954) 687-3969
Other practice location 1
7809 Juniper St
Miramar, FL 33023-5844
Phone (954) 687-3969
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": "1602892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1578162913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7809 JUNIPER ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235844",
"telephone_number": "954-687-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 CRESTWOOD PKWY NW STE 472",
"city": "DULUTH",
"state": "GA",
"postal_code": "300965136",
"telephone_number": "800-920-1927"
}
],
"practiceLocations": [
{
"address_1": "7809 Juniper St",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330235844",
"country_code": "US",
"telephone_number": "954-687-3969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIERRE",
"first_name": "JINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-17",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
- Physiotherapy Associates Inc (Physio-Alpaharetta)
- Physiotherapy Associates, Inc. (Physiotherapy Associates)
- Doufeng Piao, ACUPUNCTURIST
- Pib Family Medicine (Song Family Medicine)
- Michael John Pickford, M.D.
- Patrina Pinder, CSFA
- Victoria Joanna Pinell
- Adriunna Pinnock, M.S.
- Jody Pinnock
- Pioneer Acquisiton Corp (Medi-Call)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.