Individual provider Active NPI

Jenny Melissa Acevedo-Usuga, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1073152609
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39211 Issued in CT
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.

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

OrganizationSpecialtyStatusNew patients
Rise Above Behavioral Group CT LLC Behavior Analyst CurrentSince Jan 21, 2024 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

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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

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

{
    "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.

Verify at the official NPI Registry.