Active NPI
Jenny Melissa Acevedo-Usuga, BCBA
- Behavior Analyst
- Miami, FL
National Provider Identifier
1073152609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39211
- Practice address
- 8785 SW 165TH Ave # 103-104
Miami, FL 33193-5826 - Phone
- (786) 206-6500
- NPI assigned
- Dec 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1659949857
-
- Behavior Analyst
- Watertown, CT
- NPI 1679334346
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Above Behavioral Group CT LLC | Behavior Analyst | Current | Accepting new patients |
| Rise Above Behavioral Group LLC | Behavior Analyst | Current | Accepting new patients |
Locations
76 Westbury Park Rd
Ste 306E
Watertown, CT 06795
Phone (305) 317-2818
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 Analyst | 103K00000X | 1-19-39211 | CT | Primary |
Addresses
Primary practice location
8785 SW 165TH Ave # 103-104
Miami, FL 33193-5826
Mailing address
24 Blueridge Dr Apt M8
Waterbury, CT 06704-1684
Phone (475) 235-5709
Other practice location 1
27 Siemon Company Dr Ste 302W
Watertown, CT 06795-2654
Phone (475) 235-5709
NPI Registry JSON
{
"created_epoch": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1073152609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BLUERIDGE DR APT M8",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067041684",
"telephone_number": "475-235-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8785 SW 165TH AVE # 103-104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935826",
"telephone_number": "786-206-6500"
}
],
"practiceLocations": [
{
"address_1": "27 Siemon Company Dr Ste 302W",
"address_purpose": "LOCATION",
"city": "Watertown",
"state": "CT",
"postal_code": "067952654",
"country_code": "US",
"telephone_number": "475-235-5709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACEVEDO-USUGA",
"first_name": "JENNY",
"middle_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-30",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-19-39211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.