Active NPI
Alejandro Lazaro Jerez Guzman
- Behavior Analyst
- Davie, FL
National Provider Identifier
1457962946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5400 S University Dr Ste 502
Davie, FL 33328-5313 - Phone
- (888) 754-0398
- NPI assigned
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- No
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 | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5400 S University Dr Ste 502
Davie, FL 33328-5313
Mailing address
3320 NW 188TH St
Miami Gardens, FL 33056-3045
Phone (786) 343-3806
Other practice location 1
13650 NW 8th St Ste 109
Sunrise, FL 33325-6239
Phone (888) 754-0398
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jeremy Grunfeld, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boca Raton, FL
- NPI 1053029876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1457962946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 NW 188TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563045",
"telephone_number": "786-343-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 502",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285313",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [
{
"address_1": "13650 NW 8th St Ste 109",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333256239",
"country_code": "US",
"telephone_number": "888-754-0398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEREZ GUZMAN",
"first_name": "ALEJANDRO",
"middle_name": "LAZARO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.