Organization Active NPI

Footprints Early Learning Center, LLC

  • Behavior Analyst
  • Jupiter, FL
National Provider Identifier
1356056600
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
FOOTPRINTS EARLY LEARNING CENTER, LLC
Practice address
16416 132ND Ter N
Jupiter, FL 33478-6537
Phone
(561) 972-3024
NPI assigned
Jan 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Misty Perez Estevez, BEHAVIOR ANALYSTNPI 1336381359
Title
Owner
Phone
(561) 972-3024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

16416 132ND Ter N
Jupiter, FL 33478-6537

Mailing address

16416 132ND Ter N
Jupiter, FL 33478-6537
Phone (561) 972-3024

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpefelc@outlook.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1356056600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16416 132ND TER N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786537",
            "telephone_number": "561-972-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16416 132ND TER N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334786537",
            "telephone_number": "561-972-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS EARLY LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ ESTEVEZ",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-972-3024",
        "authorized_official_credential": "BEHAVIOR ANALYST"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpefelc@outlook.com",
            "affiliation": "N",
            "address_1": "16416 132nd Ter N",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334786537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.