Jennifer N Omelianoff, BCBA
Behavior Analyst in Lyndonville, Vermont
1598356180- Practice location
- 2335 Peak RD, Lyndonville, VT 05851-9546
- Phone
- 203-233-5497
- Fax
- —
- Last updated
- December 18, 2024
Jennifer Natasha Omelianoff is a Behavior Analyst based in Lyndonville, VT. Jennifer Natasha Omelianoff practices in Lyndonville, VT and has the professional credentials of BCBA. The NPI Number for Jennifer Natasha Omelianoff is 1598356180 and holds a License No. 0-21-11688 (TX). The current practice location address for Jennifer Natasha Omelianoff is 2335 Peak RD, Lyndonville, VT 05851-9546 and can be reached out via phone at 203-233-5497.
Provider Profile Details
- NPI Number
- 1598356180
- Provider Name
- Jennifer Natasha Omelianoff
- Credential
- BCBA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2335 Peak RD, Lyndonville, VT 05851-9546
- Phone Number
- 203-233-5497
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 27, 2021
- Last Update Date
- December 18, 2024
- Certification Date
- December 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2335 Peak RD
Lyndonville, VT 05851-9546 - City
- Lyndonville
- State
- Vermont
- Zip
- 05851-9546
- Phone Number
- 203-233-5497
Provider Business Mailing Address Details
- Address
- 11109 Helms Deep Dr
Austin, TX 78754-4062 - City
- Austin
- State
- TX
- Zip
- 78754-4062
- Phone Number
- 802-535-2833
License Information
- License Number (1)
- 0-21-11688
- License State (1)
- TX
- Taxonomy (1)
- Assistant Behavior Analyst · 106E00000X
- License Number (2)
- 1-23-66739
- License State (2)
- TX
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer N Omelianoff, BCBA?
The NPI number of Jennifer N Omelianoff, BCBA is 1598356180. It was assigned on January 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Jennifer N Omelianoff, BCBA?
Jennifer N Omelianoff, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in TX under license number 0-21-11688.
Where does Jennifer N Omelianoff, BCBA practice?
The practice location is 2335 Peak RD, Lyndonville, VT 05851-9546. The office can be reached at 203-233-5497 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598356180 directly on the NPPES registry website.