Active NPI
Jossie Nunez
- Behavior Technician
- Homestead, FL
National Provider Identifier
1023701638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB900369
- Practice address
- 49 NW 17TH St
Homestead, FL 33030-3210 - Phone
- (786) 349-4700
- NPI assigned
- May 30, 2023
- 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 Technician | 106S00000X | BACB900369 | FL | Primary |
Addresses
Primary practice location
49 NW 17TH St
Homestead, FL 33030-3210
Mailing address
17275 SW 256TH St
Homestead, FL 33031-1930
Phone (856) 366-8361
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 |
|---|---|---|---|
| BACB900369 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Therapy Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Homestead, FL
- NPI 1265803662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1023701638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17275 SW 256TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330311930",
"telephone_number": "856-366-8361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 NW 17TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330303210",
"telephone_number": "786-349-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "JOSSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB900369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.