Jill Davis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15259 Issued in NJ

Practice address

902-D Merritt Dr
Hillsborough, NJ 08844

Phone

(908) 872-3797

NPI assigned

May 27, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Take Flight ABA LLC

  • Behavior Analyst
  • Hillsborough, NJ
  • NPI 1275166142
  NPD (past) Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1851703763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902-D MERRITT DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-872-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902-D MERRITT DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "08844",
            "telephone_number": "908-872-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JILL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-14-15259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dino Damiani, R.PH.
• Dan C Pullen DDS PA
• Aline G Daou, MD
• Vivek T. Das, M.D.
• Parul Dave, P.A.-C
• Lisa Davis
• Nicole D Davis, M.D.
• Francisco De Jesus, M.D.
• Brianna De la Cruz
• Amanda Dekleine, PT

• Behavior Analyst in Hillsborough, NJ
• Providers in Hillsborough, 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 May 27, 2014; 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.