Jeremiah Ross

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8 Wildwood LN
Palm Coast, FL 32137-3221

Phone

(386) 227-6485

NPI assigned

Feb 12, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Coast Autism LLC

  • Behavior Analyst
  • Palm Coast, FL
  • NPI 1861821084
  NPD (past)
• Strategies, Inc. Behavior Analysis & Therapeutic Services

  • Behavior Analyst
  • New Smyrna Beach, FL
  • NPI 1861638827
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1639593502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILDWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WILDWOOD LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373221",
            "telephone_number": "386-227-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JEREMIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-12",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Olivia Rose
• Corey Samuel Rosenbaum, D.O.
• Jo Ann Patricia Rosenbaum, LMFT
• Lauren Marie Rosencrans, PA-C
• Alisha Nichole Rosenthal, L.M.T.
• Gwendolyn Marie Shelby Rountree
• Rachel Rowland
• RP Acupuncture, Inc
• Evgeniya Victorovna Rubis, APRN
• Rosabel Ruiz Benitez

• Behavior Analyst in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.