Active NPI
Jacqueline Dubois
- Assistant Behavior Analyst
- Orlando, FL
National Provider Identifier
1396242558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 7547 Sand Lake Pointe Loop
Orlando, FL 32809-7219 - Phone
- (941) 465-2299
- NPI assigned
- Apr 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | FL | Primary |
Addresses
Primary practice location
7547 Sand Lake Pointe Loop
Orlando, FL 32809-7219
Mailing address
7547 Sand Lake Pointe Loop
Orlando, FL 32809-7219
Phone (941) 465-2299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D120-420-89-513-0 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1396242558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7547 SAND LAKE POINTE LOOP",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097219",
"telephone_number": "941-465-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7547 SAND LAKE POINTE LOOP",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097219",
"telephone_number": "941-465-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-12",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D120-420-89-513-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.