Jenny G. Herrera, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-119063 Issued in FL

Practice address

1700 Wells Rd # 1516
Orange Park, FL 32073-2337

Phone

(904) 637-1400

NPI assigned

May 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Licini Inc

  • Behavior Analyst
  • Orange Park, FL
  • NPI 1316509896
  NPD

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1861015265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 ARDEN FOREST PL",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320032306",
            "telephone_number": "301-922-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WELLS RD # 1516",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732337",
            "telephone_number": "904-637-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JENNY",
        "middle_name": "G.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-119063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Cristina Heredia, RN
• Alexander John Herington
• Maria Claudia Hernandez del Sol
• Monica Hernandez Varela Elgelany
• Agnes Pardo Hernandez Sr.
• Nicholas Alexander Herrero, M.D.
• Emmaleigh Hope Herrington
• Taylor Anne Hewiett, APRN
• Laura Rose Hice, APRN
• Anna Hicks

• Behavior Technician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.