Jessica Butters

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-59983 Issued in FL

Practice address

12051 W Okeechobee Rd
Hialeah Gardens, FL 33018-2933

Phone

(305) 828-5276

NPI assigned

Jan 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Crystal Minds New Beginning Inc.

  • Behavior Analyst
  • Miami Gardens, FL
  • NPI 1518238229
  NPD (past)

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1124440144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20833 NW 41ST AVENUE RD",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551370",
            "telephone_number": "786-317-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12051 W OKEECHOBEE RD",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330182933",
            "telephone_number": "305-828-5276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20833 NW 41st Avenue Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330551370",
            "country_code": "US",
            "telephone_number": "786-317-4478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTERS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "B362433927870",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-59983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Meylin Cabrera Rey
• Maria Cadavid

• Behavior Technician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.