Active NPI
Jesse Alexander Ventura
- Behavior Technician
- Hollywood, FL
National Provider Identifier
1497572309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- V536421032090
- Practice address
- 3200 N 66TH Ave
Hollywood, FL 33024-2930 - Phone
- (954) 947-9782
- NPI assigned
- Sep 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | V536421032090 | FL | Primary |
Addresses
Primary practice location
3200 N 66TH Ave
Hollywood, FL 33024-2930
Mailing address
3200 N 66TH Ave
Hollywood, FL 33024-2930
Phone (954) 947-9782
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
| License | State | Type | Specialty |
|---|---|---|---|
| V536421032090 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1497572309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 N 66TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242930",
"telephone_number": "954-947-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N 66TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242930",
"telephone_number": "954-947-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "JESSE",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "V536421032090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.