Individual provider Active NPI

Jaela M Dorler

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1437667888
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-33008 Issued in NU
Practice address
10920 Moss Park Rd Ste 130
Orlando, FL 32832-6087
Phone
(407) 930-4339
Fax
(407) 745-0316
NPI assigned
Jan 19, 2018
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-33008 NU Primary

Addresses

Primary practice location

10920 Moss Park Rd Ste 130
Orlando, FL 32832-6087

Mailing address

1913 N Park Ave
Winter Park, FL 32789-2305
Phone (850) 374-2002

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1437667888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 N PARK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892305",
            "telephone_number": "850-374-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 MOSS PARK RD STE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326087",
            "telephone_number": "407-930-4339",
            "fax_number": "407-745-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORLER",
        "first_name": "JAELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-33008",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2021; 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.