Active NPI
Jennifer Lynn Virostek, BCBA
- Behavior Analyst
- Oakland Park, FL
National Provider Identifier
1013207463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0093033
- Practice address
- 114 Lake Emerald Dr
#103
Oakland Park, FL 33309-6247 - Phone
- (561) 714-7737
- NPI assigned
- Apr 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0093033 | FL | Primary |
Addresses
Primary practice location
114 Lake Emerald Dr
#103
Oakland Park, FL 33309-6247
Mailing address
114 Lake Emerald Dr
#103
Oakland Park, FL 33309-6247
Phone (561) 714-7737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0093033 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1013207463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 LAKE EMERALD DR",
"address_2": "#103",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333096247",
"telephone_number": "561-714-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 LAKE EMERALD DR",
"address_2": "#103",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333096247",
"telephone_number": "561-714-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIROSTEK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0093033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.