Individual provider Active NPI

Jennifer Saccutelli, RBT-25-414760

  • Assistant Behavior Analyst
  • Clermont, FL
National Provider Identifier
1144028044
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
RBT-25-414760 Issued in FL
Practice address
365 Citrus Tower Blvd Ste 106
Clermont, FL 34711-6532
Phone
(321) 436-9792
Fax
(888) 719-7820
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT-25-414760 FL Primary

Addresses

Primary practice location

365 Citrus Tower Blvd Ste 106
Clermont, FL 34711-6532

Mailing address

10879 Lantana CRST
Clermont, FL 34711-8990
Phone (321) 436-9792

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
RBT-25-414760FLMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1144028044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10879 LANTANA CRST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118990",
            "telephone_number": "321-436-9792",
            "fax_number": "888-719-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CITRUS TOWER BLVD STE 106",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116532",
            "telephone_number": "321-436-9792",
            "fax_number": "888-719-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCUTELLI",
        "first_name": "JENNIFER",
        "credential": "RBT-25-414760",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "RBT-25-414760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.