Jenny Coello, M.S., LMHC, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-33141

Practice address

5020 SW 124TH Ave # 103
Miramar, FL 33027-6078

Phone

(786) 333-2975

NPI assigned

Mar 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Aba4U Corp

  • Behavior Analyst
  • Denver, CO
  • NPI 1174310775
  NPD Authorized official
• Kids Behavioral Network, LLC

  • Behavior Analyst
  • Frederick, MD
  • NPI 1013530096
  NPD Authorized official

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1467793935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SW 124TH AVE # 103",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276078",
            "telephone_number": "786-333-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SW 124TH AVE # 103",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276078",
            "telephone_number": "786-333-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 E All Saints St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015633",
            "country_code": "US",
            "telephone_number": "305-515-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COELLO",
        "first_name": "JENNY",
        "credential": "M.S., LMHC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2024-08-01",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13886",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-33141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019661500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Cleckler, PT
• Jeffrey Clemens, M.D.
• Clincart Inc
• Alexander Clua, APRN
• Annier David Cobo Oliveras
• Karen H Cohen, M.A.
• Gladys Coicou
• Trevor Coke II
• Maria Renee Colbert
• Tamika L Cole, PHARMD, CPH

• Behavior Analyst in Miramar, FL
• Providers in Miramar, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.