Active NPI
Elaine Jurjo Rollon, RBT
- Behavior Technician
- Homestead, FL
National Provider Identifier
1538718101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-97485
- Practice address
- 13063 SW 256TH St
Homestead, FL 33032-6923 - Phone
- (305) 399-3717
- NPI assigned
- Sep 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT1997485 | FL | |
| Behavior Technician | 106S00000X | RBT-19-97485 | FL | Primary |
Addresses
Primary practice location
13063 SW 256TH St
Homestead, FL 33032-6923
Mailing address
13063 SW 256TH St
Homestead, FL 33032-6923
Phone (305) 399-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104105500 | Medicaid | FL |
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 |
|---|---|---|---|
| RBT1997485 | FL | MD | Behavioral Analyst |
| RBT-19-97485 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1538718101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13063 SW 256TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330326923",
"telephone_number": "305-399-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13063 SW 256TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330326923",
"telephone_number": "305-399-3717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURJO ROLLON",
"first_name": "ELAINE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT1997485",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-97485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104105500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.