Jordin Nichole Schanck

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1320 Culver Dr NE Ste 3
Palm Bay, FL 32907-1104

Phone

(321) 914-4055

Fax

(321) 473-8829

NPI assigned

Jul 8, 2020

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

Electronic endpoints 1

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1851919724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 EMERSON DR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329077899",
            "telephone_number": "910-257-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CULVER DR NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071104",
            "telephone_number": "321-914-4055",
            "fax_number": "321-473-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANCK",
        "first_name": "JORDIN",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.efac15.com",
            "affiliation": "N",
            "address_1": "1320 Culver Dr NE Ste 3",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329071104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy A. Santos, OTR/L
• Charles A. Sarlo Jr., D.D.S., P.A.
• Sahar Alexandra Sarpoolaki
• Eunice J Saunders, M.S.,CCC/SLP
• Kiara R Savannah
• Norberto S Schechtmann, MD
• Jackeline Schierembergg
• Marina J Schutte, MA, CCC-SLP
• Jahnea Scurto
• Clara Seamon

• Behavior Technician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.