Jean David Guillaume I, MS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-121376 Issued in FL

Practice address

13316 SW 128TH Psge
Miami, FL 33186-5317

Phone

(305) 772-1340

NPI assigned

Dec 15, 2017

Last updated

Jul 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1164938908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10454 SW 227TH TER",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901397",
            "telephone_number": "305-928-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13316 SW 128TH PSGE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865317",
            "telephone_number": "305-772-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "JEAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "G45146472169-0",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-20-121376",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-121376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Michelle Guillama, M.S., CCC-SLP
• Damara Nicole Guillan, BCBA
• Kheira Guillaron Gutierrez
• Liobel Guillart Duvallon
• Janika Caridad Guillaume, OTR/L, COTA/L
• Manuel Orlando Guillen Cartaya
• Imirsys Guillen Jimenez
• Yinett Guillen Leon, APRN
• Beatriz A Guillen Martinez
• Leysa Guillen Olazabal, RBT-24-326952

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.