Active NPI
Jessica Hall
- Assistant Behavior Analyst
- Palm City, FL
National Provider Identifier
1710242524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-17-7942
- Practice address
- 2843 SW Mill Creek Way
Palm City, FL 34990 - Phone
- (318) 547-2456
- Fax
- (318) 547-2456
- NPI assigned
- Jul 8, 2012
- Sex
- Female
- 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 | 0-17-7942 | FL | Primary |
Addresses
Primary practice location
2843 SW Mill Creek Way
Palm City, FL 34990
Mailing address
2843 SW Mill Creek Way
Palm City, FL 34990-3196
Phone (318) 547-2456
Other practice location 1
8108 SE Coconut St
Hobe Sound, FL 33455-4008
Phone (561) 312-3940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111 | Other | XXX |
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 |
|---|---|---|---|
| Positive Behavior Supports Corp | Past | Accepting new patients | |
| Treasure Coast ABA Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Hobe Sound, FL
- NPI 1598027039
-
- Behavior Analyst
- Palm City, FL
- NPI 1194252163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1710242524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2843 SW MILL CREEK WAY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349903196",
"telephone_number": "318-547-2456",
"fax_number": "772-675-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2843 SW MILL CREEK WAY",
"city": "PALM CITY",
"state": "FL",
"postal_code": "34990",
"telephone_number": "318-547-2456",
"fax_number": "318-547-2456"
}
],
"practiceLocations": [
{
"address_1": "8108 SE Coconut St",
"address_purpose": "LOCATION",
"city": "Hobe Sound",
"state": "FL",
"postal_code": "334554008",
"country_code": "US",
"telephone_number": "561-312-3940",
"fax_number": "772-675-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-08",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-17-7942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "XXX",
"identifier": "1111",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.