Active NPI
Jamila Shaneka McLennon
- Behavior Technician
- Deerfield Beach, FL
National Provider Identifier
1578354635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- May 16, 2025
- 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 | NC | Primary |
Addresses
Primary practice location
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Mailing address
891 Crescent Commons Way Apt 206
Fayetteville, NC 28314-2278
Phone (561) 856-1426
Other practice location 1
300 45th St S
Fargo, ND 58103-1189
Phone (910) 218-1102 ext. 8806
Other practice location 2
100 Universal City Plz
Universal Cty, CA 91608-1002
Phone (910) 218-1102
Other practice location 3
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (877) 418-2978
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": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1578354635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 CRESCENT COMMONS WAY APT 206",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142278",
"telephone_number": "561-856-1426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FAIRWAY DR STE 101",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411834",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [
{
"address_1": "300 45th St S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581031189",
"country_code": "US",
"telephone_number": "910-218-1102 x8806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Universal City Plz",
"address_purpose": "LOCATION",
"city": "Universal Cty",
"state": "CA",
"postal_code": "916081002",
"country_code": "US",
"telephone_number": "910-218-1102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Fayetteville St Ste 1100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276013000",
"country_code": "US",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLENNON",
"first_name": "JAMILA",
"middle_name": "SHANEKA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2025-05-16",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.