Individual provider Active NPI

Jenny Luna Enriquez

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1497253900
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21157398 Issued in FL
Practice address
4029 28TH St SW
Lehigh Acres, FL 33976-3819
Phone
(786) 445-8305
NPI assigned
Jan 30, 2018
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 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 21157398 FL Primary

Addresses

Primary practice location

4029 28TH St SW
Lehigh Acres, FL 33976-3819

Mailing address

4029 28TH St SW
Lehigh Acres, FL 33976-3819
Phone (786) 445-8305

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

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1497253900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 28TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339763819",
            "telephone_number": "786-445-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 28TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339763819",
            "telephone_number": "786-445-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA ENRIQUEZ",
        "first_name": "JENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "21157398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.