Individual provider Active NPI

Jennifer K Fehl, BCBA

  • Behavior Analyst
  • Lumberton, NJ
National Provider Identifier
1902155294
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-11587 Issued in NJ
Practice address
25 Whitehaven Dr
Lumberton, NJ 08048-5010
Phone
(609) 351-5442
Fax
(609) 265-2216
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-11587 NJ Primary

Addresses

Primary practice location

25 Whitehaven Dr
Lumberton, NJ 08048-5010

Mailing address

25 Whitehaven Dr
Lumberton, NJ 08048-5010
Phone (609) 351-5442

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

NPI Registry JSON

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1902155294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WHITEHAVEN DR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485010",
            "telephone_number": "609-351-5442",
            "fax_number": "609-265-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WHITEHAVEN DR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080485010",
            "telephone_number": "609-351-5442",
            "fax_number": "609-265-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHL",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "1-12-11587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.