Jessica Collantes, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-17-7778 Issued in FL

Practice address

3761 E 8TH Ave
Hialeah, FL 33013-2838

Phone

(786) 499-2716

NPI assigned

Jun 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Collantes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Meli Medical Center Inc

  • Clinic/Center
  • Hialeah Gardens, FL
  • NPI 1457659310
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1447608120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 E 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132838",
            "telephone_number": "786-499-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 E 8TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132838",
            "telephone_number": "786-499-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLANTES",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-17-7778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104813300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "COLLANTES",
            "credential": "BCABA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gabriel Collado Suri
• Emily Collado
• Maria Elena Collado, M.D.
• Maribel Collado
• Yisel C Collado
• Jissuan Gabriel Collazo Collado
• Daniela Collazo Rodriguez
• Yanet Collazo Vazquez
• Melany Collazo Vigoa
• Axel Collazo

• Assistant Behavior Analyst in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.