Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952722795 Individual Practitioner Female Practitioner

Jennifer Boulware , SLPA

Behavior Technician • Virginia Beach, VA

Professional Overview & Biography Verified Profile Summary

Jennifer Boulware, SLPA is a registered healthcare professional specializing in Behavior Technician in Virginia Beach, VA. Practice services are available at 780 LYNNHAVEN PKWY STE 400 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

780 Lynnhaven Pkwy Ste 400

Virginia Beach, VA 234527332

Telephone 6024783321
Associated Practice Facility / Clinic
🏢 Legacy Care Llc Facility NPI 1902149776

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Virginia Beach, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.4 Yrs
Regional Practice Density
1629 Specialists

Practicing in Virginia Beach, VA (8027 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-15
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

State License AZ 7716

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Markia Durr

Behavior Technician

NPI 1003490202
Destiny Mccaden

Behavior Technician

NPI 1003625328
Camisha Mann

Behavior Technician

NPI 1003644717
Zyon Wilson

Behavior Technician

NPI 1003732884
Cayla Cammett

Behavior Technician

NPI 1003773086
Deaisha Venable

Behavior Technician

NPI 1013536390

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 15, 2022

Registered at 780 LYNNHAVEN PKWY STE 400, VIRGINIA BEACH, VA 234527332 (Tel: 6024783321)

📍
Updated Business Mailing Address June 15, 2022

Registered at 350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 334411834 (Tel: 8774182978)

NPI Profile Active December 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2013

Registered at 12072 W DAHLIA DR, EL MIRAGE, AZ 853354335 (Tel: 6024783321)

📍
Updated Business Mailing Address December 20, 2013

Registered at 12072 W DAHLIA DR, EL MIRAGE, AZ 853354335 (Tel: 6024783321)

👤
Provider Name / Credentials Updated December 20, 2013

Recorded as JENNIFER BOULWARE, SLPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2013

Specialist/Technologist (License #7716 in AZ)

🟢
Initial NPI Registration & Enumeration December 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jennifer Boulware. Be the first to share your experience!

Sign in to leave a review for Jennifer Boulware

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1952722795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2013
Last Update: June 15, 2022
Sole Proprietor: No

Mailing Address

350 Fairway Dr Ste 101

Deerfield Beach, FL 334411834

Phone: 8774182978

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.