Jeannine Weston

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8293 Middle Run Rd NE
Dover, OH 44622-7637

Phone

(330) 340-9673

NPI assigned

Feb 18, 2016

Last updated

Nov 25, 2020By 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 2

Addresses

Other identifiers 1

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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1720447741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8293 MIDDLE RUN RD NE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227637",
            "telephone_number": "330-340-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8293 MIDDLE RUN RD NE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446227637",
            "telephone_number": "330-340-9673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9123 Cross Park Dr",
            "address_2": "suite 250",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379234552",
            "country_code": "US",
            "telephone_number": "865-309-5910 x1000",
            "fax_number": "865-249-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTON",
        "first_name": "JEANNINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017979",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Dover, OH
• Providers in Dover, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.