Individual provider Active NPI

Jeanne Bracker White, MFT

  • Behavior Analyst
  • Santa Barbara, CA
National Provider Identifier
1750711503
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MFC 36439 Issued in CA
Practice address
4675 Via Los Santos
Santa Barbara, CA 93111-1346
Phone
(805) 637-5272
Fax
(805) 964-2722
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MFC 36439 CA Primary
Marriage & Family Therapist 106H00000X MFC 36439 CA

Addresses

Primary practice location

4675 Via Los Santos
Santa Barbara, CA 93111-1346

Mailing address

4675 Via Los Santos
Santa Barbara, CA 93111-1346
Phone (805) 637-5272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 36439CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Developmental Play and Learning Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1750711503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111346",
            "telephone_number": "805-637-5272",
            "fax_number": "805-964-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111346",
            "telephone_number": "805-637-5272",
            "fax_number": "805-964-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JEANNE",
        "middle_name": "BRACKER",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "MFC 36439",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 36439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.