Individual provider Active NPI

Jennifer Denise Knowles, RBT, BCABA

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1396243572
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
OP-07-0134 Issued in FL
Practice address
27968 SW 135TH Ave
Homestead, FL 33032-7747
Phone
(305) 898-4202
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OP-07-0134 FL Primary

Addresses

Primary practice location

27968 SW 135TH Ave
Homestead, FL 33032-7747

Mailing address

27968 SW 135TH Ave
Homestead, FL 33032-7747
Phone (305) 898-4202

Other names 1

  • Mrs. Jennifer D Rodriguez Former name

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

State licenses

LicenseStateTypeSpecialty
OP-07-0134FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1396243572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27968 SW 135TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327747",
            "telephone_number": "305-898-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27968 SW 135TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327747",
            "telephone_number": "305-898-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "RBT, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "OP-07-0134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RODRIGUEZ",
            "middle_name": "D",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

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

Verify at the official NPI Registry.