Jack Mcenroe

ActiveIndividual ProviderBehavior Technician
NPI issued: February 16, 2022

Quick Facts

NPI Number
1720733918
TypeIndividual
StatusActive
SpecialtyBehavior Technician
Taxonomy106S00000X — Behavior Technician
Phone
(516) 672-5771
StateNY

NPI Validation Status: Verified

Valid 10-digit NPI number (1720733918)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (February 16, 2022)
Data source: CMS NPPES

Provider Overview

JACK MCENROE is a Behavior Technician provider based in Hauppauge, NY who has been registered with CMS since 2022. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1720733918
Provider TypeIndividual Provider
GenderMale
StatusActive
Enumeration DateFebruary 16, 2022

Practice Location

CityHauppauge
StateNY
ZIP Code11788-3353
Phone(516) 672-5771

Specialties & Licenses

★ Primary
SpecialtyBehavior Technician
Taxonomy Code106S00000X
License StateNY

Mailing Address

CityHauppauge
StateNY
ZIP Code11788-3353
Phone(516) 672-5771
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1720733918 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1720733918for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1720733918 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Behavior Technician

Behavior Technicians work under the supervision of a Board Certified Behavior Analyst (BCBA) to implement behavioral therapy plans, typically assisting individuals with Autism Spectrum Disorder (ASD) or other developmental delays.

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572,432
Behavior Technician Providers in the US

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People Also Ask

What is Jack Mcenroe's NPI number?
Jack Mcenroe's NPI number is 1720733918, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Mcenroe's NPI currently active?
Yes, Jack Mcenroe's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Mcenroe specialize in?
Jack Mcenroe specializes in Behavior Technician. The healthcare taxonomy code associated with this specialty is 106S00000X.
Where does Jack Mcenroe practice?
Jack Mcenroe practices in Hauppauge, NY 11788-3353.
When was Jack Mcenroe's NPI issued?
Jack Mcenroe's NPI was issued on February 16, 2022.
What is Jack Mcenroe's provider type?
Jack Mcenroe is registered as an Individual Provider under CMS NPI Type 1.