Jenna Devalk, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

21165579 Issued in AZ

Practice address

2266 S Dobson Rd Ste 200
Mesa, AZ 85202-6412

Phone

(480) 757-8090

NPI assigned

May 7, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1811571706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258831",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731258831",
            "telephone_number": "720-961-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S DOBSON RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026412",
            "telephone_number": "480-757-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALK",
        "first_name": "JENNA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "21165579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Renee Desvergnes
• Jessica Dettra, P.A.
• Florence Wairimu Deuel, PMHNP-BC
• Collin Deutscher, DC
• Hemikaa Devakumar
• Douglas Gordon Dever, D.C.
• James Dever, D.C.
• Devereux Foundation
• Devereux Foundation
• Devine Design Medical Associates LLC

• Behavior Technician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.