Jenysabel Basulto

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-126990 Issued in FL

Practice address

2555 NW 102ND Ave Ste 215
Doral, FL 33172-2131

Phone

(305) 226-0551

NPI assigned

Sep 29, 2022

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C & C Family Care Corp

  • Behavior Analyst
  • Doral, FL
  • NPI 1205346897
  NPD

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1164146445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 NW 168TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554514",
            "telephone_number": "786-318-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NW 102ND AVE STE 215",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722131",
            "telephone_number": "305-226-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASULTO",
        "first_name": "JENYSABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-126990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Barrueta
• Roxana Bartolome
• Brianna Basanta
• Bruno Bassi
• Arturo Baster
• Danilo Batista Rodriguez
• Brenda Batista
• Edgar Arturo Batista, MD
• Marlen Batista
• Nicole Batista

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.