Jennifer Baltazar Baltazar

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

350 Fairway Drive
Suite 101
Deerfield Beach, FL 33441

Phone

(877) 418-2978

Fax

(866) 500-2186

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1568182798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FAIRWAY DRIVE",
            "address_2": "SUITE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FAIRWAY DRIVE",
            "address_2": "SUITE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "877-418-2978",
            "fax_number": "866-500-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 W 6th St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900205112",
            "country_code": "US",
            "telephone_number": "213-365-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALTAZAR BALTAZAR",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tunisia Baldwin
• Thamar Rivera Balerio
• Alyssa Louise Balick, LCSW
• Madison Ballard
• Alan Balsam, M.D.
• Myrlande Banica, RN
• Deborah Lorraine Banker, RNFA
• Laura V Banks
• Owen Paul Bannish
• Helen E Banta, CSW

• Behavior Technician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.