Jade Burgos

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

542 Lee Ave
Satellite Beach, FL 32937-2912

Phone

(321) 794-1462

NPI assigned

May 3, 2018

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

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1225527401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LEE AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372912",
            "telephone_number": "321-794-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 LEE AVE",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372912",
            "telephone_number": "321-794-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Brewer, LMFT
• Dreama L Briley, RMHCI
• Mark Alan Brimer, PH.D., P.T.
• Mary Beth Britton-King, ARNP
• Judith Bulliner, HHA
• Brian Burns
• C. Stevens Psychological Associates
• Ashleigh Calderon, LMT, CD, PCD
• Jonathan Trevino Calderon, DDS
• Kyle Callahan

• Behavior Analyst in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.