Individual provider Active NPI

Jackenia Marcela Palma

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1073405924
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25-452961 Issued in FL
Practice address
3399 NW 100TH St
Miami, FL 33147-1946
Phone
(765) 469-6499
NPI assigned
Jul 16, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 25-452961 FL Primary

Addresses

Primary practice location

3399 NW 100TH St
Miami, FL 33147-1946

Mailing address

3399 NW 100TH St
Miami, FL 33147-1946
Phone (765) 469-6499

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

State licenses

LicenseStateTypeSpecialty
25-452961FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1073405924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 NW 100TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331471946",
            "telephone_number": "765-469-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 NW 100TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331471946",
            "telephone_number": "765-469-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "JACKENIA",
        "middle_name": "MARCELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "25-452961",
            "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 Oct 7, 2025; 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.