Active NPI
Jordan Chantilope
- Behavior Technician
- Cinnaminson, NJ
National Provider Identifier
1962273649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-296110
- Practice address
- 19 Glenview Dr
Cinnaminson, NJ 08077-2135 - Phone
- (856) 617-0486
- NPI assigned
- Jan 11, 2024
- 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 | 23-296110 | NJ | Primary |
Addresses
Primary practice location
19 Glenview Dr
Cinnaminson, NJ 08077-2135
Mailing address
19 Glenview Dr
Cinnaminson, NJ 08077-2135
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 |
|---|---|---|---|
| 23-296110 | NJ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1962273649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GLENVIEW DR",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 GLENVIEW DR",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772135",
"telephone_number": "856-617-0486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTILOPE",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NJ",
"license": "23-296110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.