Jacob Dillon, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-48432 Issued in NU

Practice address

941 White Horse Mercerville Rd Ste 2
Hamilton, NJ 08610-1407

Phone

(609) 581-3800

Fax

(866) 513-0868

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethea-Miller Behavioral Consulting, LLC

  • Community/Behavioral Health Agency
  • Hamilton, NJ
  • NPI 1649622218

  Behavior Technician

  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1972158590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE MERCERVILLE RD STE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WHITE HORSE MERCERVILLE RD STE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101407",
            "telephone_number": "609-581-3800",
            "fax_number": "866-513-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "JACOB",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-18-48432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethea-millerbehavioralconsulting@hipaamail.net",
            "affiliation": "N",
            "address_1": "941 White Horse Mercerville Rd Ste 2",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086101407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven M Deutsch, M.A., CCC
• Mary Ann Devine, M.D.
• Diabetes & Endocrinology Associates, PA
• William Michael Digennaro, LCSW
• Jenna Dilissio
• Stephanie Dimeglio
• Dessislava I Dimitrova, M.D, PHD
• Christian John Dimola
• Katherine Bergen Diviaio, LCSW
• Nauman A Diwan, MD

• Behavior Technician in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Behavior Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.