Jennifer C Coffin, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2017042980 Issued in MO

Practice address

9510 Page Ave
Saint Louis, MO 63132-1524

Phone

(314) 736-5502

NPI assigned

Jan 5, 2018

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

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.

• True Colors ABA Consulting Services LLC

  • Behavior Analyst
  • Ballwin, MO
  • NPI 1376042036
  NPD Authorized official

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902313372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SHADOWOAK DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216546",
            "telephone_number": "314-736-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 PAGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321524",
            "telephone_number": "314-736-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Shadowoak Dr",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630216546",
            "country_code": "US",
            "telephone_number": "314-736-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFIN",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2017042980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Salmo Coenen, NP
• Cofactor Genomics
• Robert Clayton Coffee, LPC
• Patricia Coffelt
• Morgan Rae Coffey, MED, PLPC
• Chad Coffman, MD
• Sarah Faye Coffman, MSW, LCSW
• Yolanda Coffman
• Irene Cofie
• Marissa Lynn Coggin, CRNA

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.