Jeremiah Werner, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-59164 Issued in GA

Practice address

427 Spring St SE
Gainesville, GA 30501-3737

Phone

(770) 615-7676

NPI assigned

May 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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.

• Lifting Spirits Therapy Services, Inc

  • Pediatric Occupational Therapist
  • Gainesville, GA
  • NPI 1083891907
  NPD (past)
• Kids Overcoming, LLC

  • Behavior Analyst
  • San Jose, CA
  • NPI 1730426420
  NPD (past)

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1669962296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580",
            "fax_number": "407-588-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SPRING ST SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013737",
            "telephone_number": "770-615-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "JEREMIAH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-22-59164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Lawrence Welch, MD
• Jeanne Pritchett Welch, MS,PT
• Jennifer Leigh Welch, MSW
• Wellspring Life Solutions, Inc.
• Shaigna Wentz, CCC-SLP
• Christopher Spencer West, PHYSICIAN ASSISTANT
• Erica Elizabeth West
• Joseph Eugene West, MD
• Melissa L West, CFNP
• Meredith Gerhard West, OTR/L

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

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

Verify at the official NPI Registry.