Emily Ann Jenda
Behavior Analyst in Watkinsville, GA. Individual provider (NPI-1).
NPI number1962028571
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1962028571
- Entity type
- Individual (NPI-1)
- Name
- Emily Ann Jenda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2020
- Certification date
- Mar 29, 2022
- Last updated
- Apr 8, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-53064 | GA | Yes |
| 106S00000X | Behavior Technician | RBT-18-48509 | KY |
Practice location
1272 Virgil Langford Road. Suite 101Watkinsville, GA 30677
Phone 706-449-0273 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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