Jillian Danielle Hamm, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-22336 Issued in CO

Practice address

5858 Shale CT
Winter Park, FL 32792

Phone

(321) 288-9497

NPI assigned

Aug 4, 2016

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jillian Treffeisen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1679027957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 SHALE CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929394",
            "telephone_number": "321-288-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 SHALE CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "32792",
            "telephone_number": "321-288-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "JILLIAN",
        "middle_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-16-22336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019714100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "TREFFEISEN",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annette Hamilton
• Dustin Hamilton, PSY.D
• Kylie Suhanna Hamilton
• Tiffany Hamm Yanni, FNP
• Bailey Cockrell Hamm
• Angela Hammond
• Christine Marie Hammond, LMHC
• Thomas E Hammond III, BA
• Robert Tod Hammons, ATC
• Chelsea Lauren Smisek Hamner, ITDS

• Behavior Analyst in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.