Ruth Katherine De Jesus Pena, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1060 W State Road 434 Ste 108
Longwood, FL 32750-4953

Phone

(407) 324-7772

NPI assigned

Sep 6, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Blue Path ABA

  • Behavior Analyst
  • Longwood, FL
  • NPI 1891950671
  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1134840408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 ALAFAYA PALMS DR UNIT 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434 STE 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504953",
            "telephone_number": "407-324-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS PENA",
        "first_name": "RUTH",
        "middle_name": "KATHERINE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "-",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kathydejesus1229@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1060 W State Road 434 Ste 108",
            "city": "Longwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327504953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah L Day, D.D.S.
• Brittany Angelica Days, MS
• DB Moura Inc.
• Jorge L De Arrigoitia, AP,DIPL.AC
• Nicolle De Hoyos Uribe, MSW
• Angelique Juanne De Jesus Romero
• Jason Dean, D.C.
• Debra a Dube and Associates, PA
• Stephen Daniel Decarlo, PA-C
• Natalie Christine Decker, LMHC

• Behavior Technician in Longwood, FL
• Providers in Longwood, FL by specialty
• Behavior Technician in Florida

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