Active NPI
Jaime Erin Tanner, M.S., BCBA
- Behavior Analyst
- Vero Beach, FL
National Provider Identifier
1639519341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8841
- Practice address
- 5105 E 1St SQ SW
Vero Beach, FL 32968-2247 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Jun 26, 2013
- Last updated
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-11-8841 | FL | Primary |
Addresses
Primary practice location
5105 E 1St SQ SW
Vero Beach, FL 32968-2247
Mailing address
5105 E 1St SQ SW
Vero Beach, FL 32968-2247
Phone (772) 321-9453
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1639519341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 E 1ST SQ SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329682247",
"telephone_number": "772-321-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 E 1ST SQ SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329682247",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "JAIME",
"middle_name": "ERIN",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-11-8841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Take Flight Counseling & Consulting, LLC
- Takisha Stringer LLC (Dunamis Greater Solutions)
- Kenaz Taleb, MD
- Melissa Talley, OTR/L, CHT
- Tandem Health Care of Vero Beach, Inc. (Tandem Health Care of Vero Beach)
- Katiuska Tanner, LMHC, NCC
- Tara Moran RDN LLC
- Christopher P Tardif, MD
- Targeted Treatment Solutions
- Christopher Aaron Tarpein, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.