Jackeline Jas

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11621481 Issued in FL

Practice address

11060 SW 88TH St
B100
Miami, FL 33176-1272

Phone

(305) 668-8644

Fax

(305) 668-6010

NPI assigned

Apr 1, 2014

Sex

Female

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

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.

• Leap Behavior LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1538935283
  NPD Authorized official
• Peak Therapy Center LLC

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1477061570
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1063830552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864585",
            "telephone_number": "786-250-3220",
            "fax_number": "786-431-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11060 SW 88TH ST",
            "address_2": "B100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761272",
            "telephone_number": "305-668-8644",
            "fax_number": "305-668-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAS",
        "first_name": "JACKELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "11621481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Jarrett, MD
• Tor Wentworth Jarrett, MD
• Wentworth Grantley Jarrett, M.D.
• Amanda Marie Jarro
• Amy Lee Jarvis, M.D.
• Abraham Jaskiel, D.M.D.
• Steven Jaskiel, DDS
• Siena Marie Jaskolka
• Jasmet Services Inc.
• Jason F. Alvarez, D.C., P.a.

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.