PRISCILLA JERGENSEN
NPI 1770012593
Behavior Analyst in Melville, NY

Active since June 06, 2017
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747(631) 385-7780 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Oct 4, 2019, Jun 6, 2017 (3 updates tracked since 2017).

  • Individual
  • Female
  • Behavior Analyst
  • Accepts Insurance

About PRISCILLA JERGENSEN

This page provides the complete NPI Profile along with additional information for Priscilla Jergensen, a provider established in Melville, New York with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1770012593 assigned on June 2017. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1770012593 Verify this NPI
Provider Name
PRISCILLA JERGENSEN
Other Name
PRISCILLA GONZALEZ
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
225 BROADHOLLOW RD STE 402 MELVILLE, NY 11747
Location Phone
(631) 385-7780
Mailing Address
225 BROADHOLLOW RD STE 402 MELVILLE, NY 11747
Mailing Phone
(631) 385-7780
Is Sole Proprietor?
No
Enumeration Date
06-06-2017
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 191 Division Ave
    Hicksville, NY 11801
    (516) 941-5740

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Early Intervention Provider Agency
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Case Manager/Care Coordinator
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Psychologist (School)
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Assistant Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770012593, enumerated as an "individual" on June 06, 2017.

The provider is located at 225 BROADHOLLOW RD STE 402 MELVILLE, NY 11747 and the phone number is (631) 385-7780.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.