Jeanine Avila

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

H01330250 Issued in HI

Practice address

2511 Trimmier Rd
Suite 140
Killeen, TX 76542-1908

Phone

(866) 273-2451

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

• Jeanine Villanueva Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1750821633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LONE SHADOW DR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482523",
            "telephone_number": "808-585-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 TRIMMIER RD",
            "address_2": "SUITE 140",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421908",
            "telephone_number": "866-273-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "H01330250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "1396198459",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "VILLANUEVA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Averitt
• W Michael Averitt, D.O.
• Jack D. Averyt Jr., R.PH.
• Karla Avila Aranda
• Jamie Avila, M.D.
• John Avritt, LMHC, LPC-S, PHD
• Luis Fernando Ayala, RBT
• Mary Ayala, BCBA, LBA
• Amber Azzoz
• B G G Oral Surgery

• Behavior Technician in Killeen, TX
• Providers in Killeen, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.