Enay Manuel Bazo Jacomino

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

19801 SW 110TH CT Apt 220
Cutler Bay, FL 33157-8448

Phone

(305) 764-1458

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1043669872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 SW 110TH CT APT 220",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578448",
            "telephone_number": "305-764-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 SW 110TH CT APT 220",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578448",
            "telephone_number": "305-764-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZO JACOMINO",
        "first_name": "ENAY",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dirly Bastida
• Angel G Batista Iturriaga, MD
• Samuel Batista, D.P.T
• Miyeilli Del Carmen Battle, RBT
• Maribel Baute, CBHCM
• Be Kind ABA Inc
• Erlande Beaubrun, RN
• Danielle Alicia Beaudoin, DDS
• Beautiful Minds Health Care Facilities LLC
• Damian Antonio Bechara

• All providers in Cutler Bay, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.