Active NPI
Johnnatan Carbonell Bustamante
- Behavior Analyst
- West Palm Beach, FL
National Provider Identifier
1417828476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-88467
- Practice address
- 4801 Sable Pine Cir Apt B1
West Palm Beach, FL 33417-3130 - Phone
- (561) 817-7264
- NPI assigned
- Sep 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-472593 | FL | |
| Behavior Analyst | 103K00000X | 1-26-88467 | FL | Primary |
Addresses
Primary practice location
4801 Sable Pine Cir Apt B1
West Palm Beach, FL 33417-3130
Mailing address
4801 Sable Pine Cir Apt B1
West Palm Beach, FL 33417-3130
Phone (561) 817-7264
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-472593 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1417828476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 SABLE PINE CIR APT B1",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334173130",
"telephone_number": "561-817-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 SABLE PINE CIR APT B1",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334173130",
"telephone_number": "561-817-7264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONELL BUSTAMANTE",
"first_name": "JOHNNATAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-15",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-472593",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-26-88467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.