Active NPI
Lorrie Jernigan
- Assistant Behavior Analyst
- Auburndale, FL
National Provider Identifier
1982141594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-16-7591
- Practice address
- 202 Howard St
Suite 3
Auburndale, FL 33823-3431 - Phone
- (863) 551-3300
- NPI assigned
- Jan 21, 2017
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-16-7591 | FL | Primary |
Addresses
Primary practice location
202 Howard St
Suite 3
Auburndale, FL 33823-3431
Mailing address
202 Howard St
Suite 3
Auburndale, FL 33823-3431
Phone (863) 551-3300
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Behavioral Concepts, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Auburndale, FL
- NPI 1093952921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1982141594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 HOWARD ST",
"address_2": "SUITE 3",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338233431",
"telephone_number": "863-551-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 HOWARD ST",
"address_2": "SUITE 3",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338233431",
"telephone_number": "863-551-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "LORRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-21",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-16-7591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburndale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.