Jamie Herrin, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-24768

Practice address

3372 US Highway 82
Brunswick, GA 31523-7701

Phone

(847) 922-1475

NPI assigned

May 26, 2016

Sex

Female

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

Credentials

Master of Science

Practice roles

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.

• Coastal Ripple Effect LLC

  • Behavior Analyst
  • Brunswick, GA
  • NPI 1790549731
  NPD Authorized official

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1669820999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 US HIGHWAY 82",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315237701",
            "telephone_number": "847-922-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 US HIGHWAY 82",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315237701",
            "telephone_number": "847-922-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5307 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33647",
            "country_code": "US",
            "telephone_number": "813-300-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2272 Primrose Ln",
            "address_2": "Apt. 2401",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337631092",
            "country_code": "US",
            "telephone_number": "847-922-1475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "JAMIE",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0166974",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-16-24768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Stephen Hennessee, MSN APRN PMHNP
• Audrey E Herbert, DPT
• Donna Hermida, RN
• Cristina Marie Hernandez
• Emily Ann Hernandez
• Lisa Herrington, CRNA
• Natisha Danielle Hill, COTA/L
• Nicole Ann Hiller, NP
• Elizabeth Hines
• Pamela Mesowski Hinson, FNP-C

• Behavior Analyst in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.