Individual provider Active NPI

Haylee Jean Katherine Kenjosian, RBT

  • Behavior Technician
  • Palm Bay, FL
National Provider Identifier
1447964804
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-252817 Issued in FL
Practice address
1600 Sarno Road
Suite 114
Palm Bay, FL 32909-3870
Phone
(321) 451-5825
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 RBT-23-252817 FL Primary

Addresses

Primary practice location

1600 Sarno Road
Suite 114
Palm Bay, FL 32909-3870

Mailing address

1081 Hosbine St SE
Palm Bay, FL 32909-3870
Phone (321) 424-4379

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
RBT-23-252817FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1447964804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 HOSBINE ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093870",
            "telephone_number": "321-424-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SARNO ROAD",
            "address_2": "SUITE 114",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329093870",
            "telephone_number": "321-451-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENJOSIAN",
        "first_name": "HAYLEE",
        "middle_name": "JEAN KATHERINE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-252817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.