Mariene Jimenez Mustelier, ITDS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-80416 Issued in FL

Practice address

300 SW Prima Vista Blvd
Port St Lucie, FL 34983-1967

Phone

(786) 534-7127

NPI assigned

Jul 14, 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

State licenses

Practice roles

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.

• Ibehavior Academy Center

  • Behavior Analyst
  • Miami, FL
  • NPI 1093241523
  NPD (past)
• Ibehavior Academy Center

  • Clinic/Center
  • Miami, FL
  • NPI 1497417547
  NPD (past)

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1326524117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831967",
            "telephone_number": "786-482-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831967",
            "telephone_number": "786-534-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MUSTELIER",
        "first_name": "MARIENE",
        "credential": "ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-80416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne L. Jensen, L.M.T.
• William J Jensen, D.C.
• Myralda Jerome, LMHC
• Kristopher P Jerry, DPM
• Rachel Autumn Jeter
• Danielle Elizabeth Jimenez
• Tandy T Jipp
• JJWP LLC (Fyzical Therapy and Balance Centers)
• Jna Riverview Inc (Acod Medical Solutions)
• Reena Jodharam, COTA/L

• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.