Jacob Mathew Allen

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-95600 Issued in FL

Practice address

2501 48TH Ave N
St Petersburg, FL 33714-3135

Phone

(727) 641-2020

NPI assigned

Jan 26, 2021

Last updated

Apr 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Parker Behavioral Consulting, Inc.

  • Behavior Analyst
  • St Petersburg, FL
  • NPI 1376891358
  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1770173478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 48TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143135",
            "telephone_number": "727-641-2020",
            "fax_number": "727-544-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 48TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143135",
            "telephone_number": "727-641-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JACOB",
        "middle_name": "MATHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-95600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Glenn Allen, MD
• Carol Ann Allen, PT11710
• Carolyn Faye Allen
• Dianne Allen, MA CAP CET
• Erin Allen
• Jayda Allen, AUD
• Jennifer Allen
• Linda Bernice Allen, M.A. CCC
• Martha L Allen
• Sarah Allen

• Behavior Technician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.