Active NPI
Jennifer Sorrento
- Assistant Behavior Analyst
- Philadelphia, PA
National Provider Identifier
1871018416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- N
- Practice address
- 5035 Hawthorne St
Philadelphia, PA 19124-1340 - Phone
- (267) 235-9122
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | N | PA | Primary |
Addresses
Primary practice location
5035 Hawthorne St
Philadelphia, PA 19124-1340
Mailing address
5035 Hawthorne St
Philadelphia, PA 19124
Phone (267) 235-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N | PA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871018416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5035 HAWTHORNE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19124",
"telephone_number": "267-235-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5035 HAWTHORNE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191241340",
"telephone_number": "267-235-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRENTO",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "PA",
"license": "N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.