Individual provider Active NPI

Juraj Velazquez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1508556911
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-78938 Issued in FL
Practice address
2915 Biscayne Blvd Ste 200-12
Miami, FL 33137-4155
Phone
(305) 537-6697
Fax
(305) 489-0698
NPI assigned
May 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-78938 FL Primary

Addresses

Primary practice location

2915 Biscayne Blvd Ste 200-12
Miami, FL 33137-4155

Mailing address

11230 SW 40TH Ter
Miami, FL 33165-4602
Phone (305) 721-5450

Other practice location 1

11402 NW 41st St Unit 206
Doral, FL 33178-4859
Phone (786) 875-7555

Other practice location 2

14425 Country Walk Dr
Miami, FL 33186-8103
Phone (786) 349-4700

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

OrganizationSpecialtyStatusNew patients
Avila Health Group LLC PastSince Mar 3, 2024 Accepting new patients
My Kid Speech and Occupational Corp PastSince Apr 1, 2025 Accepting new patients
My Kid Therapy Center Behavior Analyst PastSince Apr 1, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1508556911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 SW 40TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654602",
            "telephone_number": "305-721-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 BISCAYNE BLVD STE 200-12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374155",
            "telephone_number": "305-537-6697",
            "fax_number": "305-489-0698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11402 NW 41st St Unit 206",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331784859",
            "country_code": "US",
            "telephone_number": "786-875-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14425 Country Walk Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331868103",
            "country_code": "US",
            "telephone_number": "786-349-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "JURAJ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-78938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.