Active NPI
Jacqueline Elise Pennington, RBT
- Behavior Technician
- West Grove, PA
National Provider Identifier
1881263077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 46 Mystery Rose LN
West Grove, PA 19390-8812 - Phone
- (610) 316-7307
- Fax
- (610) 436-1208
- NPI assigned
- Jun 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
46 Mystery Rose LN
West Grove, PA 19390-8812
Mailing address
149 Columbia Ave
Phoenixville, PA 19460-4052
Phone (484) 639-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-82909 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD (BACB) |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VZE232VV@VERIZON.NET | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensible Solutions for Children, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- West Chester, PA
- NPI 1407181373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1881263077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 COLUMBIA AVE",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194604052",
"telephone_number": "484-639-7778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 MYSTERY ROSE LN",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193908812",
"telephone_number": "610-316-7307",
"fax_number": "610-436-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "JACQUELINE",
"middle_name": "ELISE",
"name_prefix": "Ms.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BACB)",
"identifier": "RBT-19-82909",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VZE232VV@VERIZON.NET",
"affiliation": "N",
"endpointDescription": "OFFICE (MANAGEMENT)EMAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "46 Mystery Rose Ln",
"city": "West Grove",
"state": "PA",
"country_code": "US",
"postal_code": "193908812",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.