Jaeda Beverly

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-73785 Issued in FL

Practice address

8027 Cooper Creek Blvd Ste 103
University Park, FL 34201-3002

Phone

(941) 477-2080

NPI assigned

Apr 6, 2021

Last updated

Jul 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1558940734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 COOPER CREEK BLVD STE 103",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013002",
            "telephone_number": "941-477-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2574 Commerce Pkwy",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342899334",
            "country_code": "US",
            "telephone_number": "800-356-4049",
            "fax_number": "941-485-0519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "JAEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-73785",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-161123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney Aylward
• Eric Daniel Barker
• Priscilla Barrios Deschamps, LMT
• Jennifer N Bates, L.M.T.
• Theodore Bellear
• Thejaswi Bikkani
• Bio-Medical Applications of Florida, Inc. (Fresenius Medical Care North Sarasota Dialysis Center)
• BJ's Wholesale Club Inc.
• BK Optical of Sarasota Inc (Eyeglass Works)
• Sarah Bocchi

• Behavior Analyst in University Park, FL
• Providers in University Park, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.