Active NPI
Jamie O'Neil
- Behavior Technician
- Palm Harbor, FL
National Provider Identifier
1780226183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 31918 US Highway 19 N
Palm Harbor, FL 34684-3730 - Phone
- (727) 207-0508
- Fax
- (727) 491-5182
- NPI assigned
- Oct 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
31918 US Highway 19 N
Palm Harbor, FL 34684-3730
Mailing address
2323 Arrowhead Blvd
Lakeland, FL 33813-3802
Phone (727) 207-0508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022424400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@sbsaba.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1780226183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 ARROWHEAD BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338133802",
"telephone_number": "727-207-0508",
"fax_number": "727-491-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31918 US HIGHWAY 19 N",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843730",
"telephone_number": "727-207-0508",
"fax_number": "727-491-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEIL",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-17",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022424400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@sbsaba.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "31918 US Highway 19 N",
"city": "Palm Harbor",
"state": "FL",
"country_code": "US",
"postal_code": "346843730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.