Envision Pediatric Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ENVISION PEDIATRIC THERAPY

Practice address

26033 Getty Dr Unit 421
Laguna Niguel, CA 92677-0977

Phone

(734) 883-4950

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Jena Lee Jenkins, BCBANPI 1871057471

Title

Owner

Phone

(734) 883-4950

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jena Lee Jenkins

  • Behavior Analyst
  • Laguna Niguel, CA
  • NPI 1871057471
  NPD Authorized official
• Jieun Lee, BCBA

  • Behavior Analyst
  • Riverside, CA
  • NPI 1952947855
  NPD (past)
• Elizabeth C Peterson, BCBA

  • Behavior Analyst
  • San Carlos, CA
  • NPI 1437661337
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1790464204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26033 GETTY DR UNIT 421",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926770977",
            "telephone_number": "734-883-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26033 GETTY DR UNIT 421",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926770977",
            "telephone_number": "734-883-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JENA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-883-4950",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elder Care Angels of Orange County, Inc.
• Elite Sedation General Partnership
• Andrew Elmasri, DDS
• Michelle Ahn Eng, D.D.S.
• Shane Michael Enriquez
• Walter Stephen Ernsdorf, PHD
• Santa Adriana Essenberg
• George Valera Estonactoc, PH.D.
• Santiago Estrada, PH.D.
• Eugene Humphries, D.D.S.

• Behavior Analyst in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.