Jill Kristin Jewell, ED.M., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-12921

Practice address

1825 Pennsylvania Ave
Vineland, NJ 08361-7536

Phone

(609) 774-0978

Fax

(856) 765-9081

NPI assigned

Feb 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Kristin Procaccino Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1811294564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PENNSYLVANIA AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617536",
            "telephone_number": "609-774-0978",
            "fax_number": "856-765-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PENNSYLVANIA AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617536",
            "telephone_number": "609-774-0978",
            "fax_number": "856-765-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "JILL",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "ED.M., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-13-12921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "PROCACCINO",
            "middle_name": "KRISTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey S Katz DPM PA
• Jaziah R Jenkins
• Jersey Health Solutions
• Amy Claire Jespersen, PT, DPT, MS
• Silvana Jester, LSW
• Lovitta Jiwanmall, PHARMD
• Yongho Christopher Jo, MD
• John J Pastore MD PA
• Roma John, APRN, NP
• Charlene D. Johnson, MS, CCC-SLP

• Behavior Analyst in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.