Jardin Elletta Oneal, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB694346 Issued in TX

Practice address

3101 Vista Dr Apt 4113
Rosenberg, TX 77471-2382

Phone

(346) 479-2974

NPI assigned

Nov 21, 2023

Last updated

Nov 21, 2023By the provider in NPPES

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

Other names 1

• Jardin Elletta Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1902671795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 VISTA DR APT 4113",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712382",
            "telephone_number": "346-479-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 VISTA DR APT 4113",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774712382",
            "telephone_number": "346-479-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "JARDIN",
        "middle_name": "ELLETTA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "BACB694346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARDIN",
            "last_name": "JOHNSON",
            "middle_name": "ELLETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Conrado Jose Ordonez, MD

• Behavior Technician in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.