Active NPI
Jerimy Allen
- Assistant Behavior Analyst
- San Jose, CA
National Provider Identifier
1639948698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 920 Saratoga Ave Ste 102
San Jose, CA 95129-3445 - Phone
- (408) 244-1743
- Fax
- (408) 212-9620
- NPI assigned
- Jan 1, 2024
- Last updated
- Jan 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
920 Saratoga Ave Ste 102
San Jose, CA 95129-3445
Mailing address
920 Saratoga Ave Ste 102
San Jose, CA 95129-3445
Phone (408) 244-1743
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Spot | Assistant Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704067200000",
"number": "1639948698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SARATOGA AVE STE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293445",
"telephone_number": "408-244-1743",
"fax_number": "408-212-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 SARATOGA AVE STE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951293445",
"telephone_number": "408-244-1743",
"fax_number": "408-212-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JERIMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-01",
"last_updated": "2024-01-01",
"certification_date": "2023-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.