Jasangely Pacheco-Sanisidro

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

106S00000X Issued in FL

Practice address

7301A W Palmetto Park Rd Ste 100C
Boca Raton, FL 33433-3403

Phone

(954) 248-1171

NPI assigned

Jul 15, 2025

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

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 and National Provider Directory roles.

• Mindful Sprouts LLC

  • Behavior Analyst
  • Boca Raton, FL
  • NPI 1326505751

  Behavior Technician

  NPD
• Mindful Sprouts LLC

  • Speech-Language Pathologist
  • Boca Raton, FL
  • NPI 1538933171
  NPD

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1245121359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 N STATE ROAD 7 APT 305",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733352",
            "telephone_number": "754-261-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD STE 100C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333403",
            "telephone_number": "954-248-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-SANISIDRO",
        "first_name": "JASANGELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "106S00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P & M Home Health Services LLC
• P. H. Eisenfeld, D.P.M., P.a.
• P.a.M. Fitness Plus, Inc.
• PA Surgical Inc
• Pac PT LLC
• Leslie Scott Pachter, DC
• Leslie Pachtman, M.ED
• Kaitlyn Packard
• Evan M Packer, MD
• Nicholas Packer

• Behavior Technician in Boca Raton, FL
• Providers in Boca Raton, 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 15, 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.