Individual provider Active NPI

Javier Sosa Jordan

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1043028426
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1026297 Issued in FL
Practice address
716 Hughey St
Kissimmee, FL 34741-5626
Phone
(407) 907-5172
NPI assigned
Dec 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-366592 FL
Behavior Technician 106S00000X BACB1026297 FL Primary

Addresses

Primary practice location

716 Hughey St
Kissimmee, FL 34741-5626

Mailing address

3291 Amberley Park Cir
Kissimmee, FL 34743-6057
Phone (787) 431-4882

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

LicenseStateTypeSpecialty
BACB1026297FLMDBehavior Technician
RBT-24-366592FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
I Beliv You Matter 'LLC' CurrentSince Dec 22, 2024 Accepting new patients

Locations

716 Hughey St
Kissimmee, FL 34741
Phone (407) 201-2329

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1043028426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 AMBERLEY PARK CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347436057",
            "telephone_number": "787-431-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 HUGHEY ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415626",
            "telephone_number": "407-907-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA JORDAN",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-366592",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1026297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.