Active NPI
Jessica Luna
- Assistant Behavior Analyst
- Doral, FL
National Provider Identifier
1467970400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-20-11542
- Practice address
- 7875 NW 12TH St Ste 109
Doral, FL 33126-1815 - Phone
- (786) 269-3502
- Fax
- (305) 468-6154
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-20-11542 | FL | Primary |
Addresses
Primary practice location
7875 NW 12TH St Ste 109
Doral, FL 33126-1815
Mailing address
9878 NW 51St Ter
Doral, FL 33178-1911
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 |
|---|---|---|---|
| Crystal Minds Psychological Services | Current | Accepting new patients |
Locations
7875 NW 12th St
Ste 109
Doral, FL 33126
Phone (786) 269-3502
10200 NW 25th St
Ste 211
Doral, FL 33172
Phone (305) 381-0346
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.
-
- Psychologist
- Doral, FL
- NPI 1316408180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1467970400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9878 NW 51ST TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331781911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7875 NW 12TH ST STE 109",
"city": "DORAL",
"state": "FL",
"postal_code": "331261815",
"telephone_number": "786-269-3502",
"fax_number": "305-468-6154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-20-11542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.