Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah Ross

Individual provider Assistant Behavior Analyst · NPI 1639593502

Jeremiah Ross is an Assistant Behavior Analyst in Palm Coast, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

8 Wildwood Ln
Palm Coast, FL 32137-3221
Phone: (386) 227-6485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1639593502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 12, 2014
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address8 Wildwood Ln, Palm Coast, FL 32137-3221

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