Individual provider Active NPI

Jonathan Kyle Fernand, M.A., BCBA

  • Behavior Analyst
  • Gainesville, FL
National Provider Identifier
1760823454
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-13985 Issued in CA
Practice address
945 Center Dr
Gainesville, FL 32611-2250
Phone
(352) 273-2184
NPI assigned
Jul 10, 2013
Last updated
Jul 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-13985 CA Primary

Addresses

Primary practice location

945 Center Dr
Gainesville, FL 32611-2250

Mailing address

113 NW 3Rd Ave
#105
Gainesville, FL 32601-3236
Phone (916) 601-9248

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Analysis Research Clinic Behavior Analyst Past Accepting new patients
Behavior Analysis Research Clinic (Barc) Behavior Analyst 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, 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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1760823454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NW 3RD AVE",
            "address_2": "#105",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326013236",
            "telephone_number": "916-601-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112250",
            "telephone_number": "352-273-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNAND",
        "first_name": "JONATHAN",
        "middle_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.