Active NPI
Shadae Jones
- Behavior Technician
- Commack, NY
National Provider Identifier
1801705926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-449536
- Practice address
- 354 Veterans Memorial Hwy
Commack, NY 11725-4331 - Phone
- (631) 640-7369
- NPI assigned
- Sep 3, 2026
- 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 | RBT-25-449536 | NY | Primary |
Addresses
Primary practice location
354 Veterans Memorial Hwy
Commack, NY 11725-4331
Mailing address
43 Lakewood Ave
Ronkonkoma, NY 11779-5618
Phone (631) 640-7369
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": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1801705926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 LAKEWOOD AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117795618",
"telephone_number": "631-640-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 VETERANS MEMORIAL HWY",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254331",
"telephone_number": "631-640-7369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHADAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NY",
"license": "RBT-25-449536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.