Jamin Labrador Portales

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-378648 Issued in FL

Practice address

420 S State Road 7 Ste 174
Royal Palm Beach, FL 33414-4306

Phone

(561) 568-9367

NPI assigned

Oct 19, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Square One Behavioral Services Inc.

  • Speech-Language Pathologist
  • Royal Palm Beach, FL
  • NPI 1558076604
  NPD

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1043031362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 SAN MARTIN CT",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611853",
            "telephone_number": "561-662-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7 STE 174",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144306",
            "telephone_number": "561-568-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRADOR PORTALES",
        "first_name": "JAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-378648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kreyol Partners LLC (Partners Healthcare)
• Susan Renee Kustad, APRN
• Yolanda Kuznetz
• L Center Services Corp
• Cody James Labelle, DMD
• Emely P Lachapell, RBT
• Vanessa Lelia Lafrance
• Lakeside Dental Group (Transitional Smiles Dental)
• Lakeview Dental, LLC
• Erika Lampkin, LM,CPM

• Behavior Technician in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.