Jessica Kathleen Camarillo, BA, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

2145 NE 164TH St Apt 824
North Miami Beach, FL 33162-4298

Phone

(440) 320-6543

NPI assigned

Feb 27, 2018

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

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Dream Team Behavioral Services, LLC

  • Assistant Behavior Analyst
  • Hialeah, FL
  • NPI 1497369540
  NPD Authorized official
• Behavioral Advancement Therapy Corp

  • Behavior Analyst
  • Miami, FL
  • NPI 1497476840
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1609377399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 NE 164TH ST APT 824",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624298",
            "telephone_number": "440-320-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 NE 164TH ST APT 824",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624298",
            "telephone_number": "440-320-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "JESSICA",
        "middle_name": "KATHLEEN",
        "credential": "BA, BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "18-6630-91010",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Rene Cabrera, MD
• Reinold Cabreras
• California Club Diagnostic Center, LLC.
• California Club Diagnostics Center, LLC.
• California Club Medical Center LLC
• Jayne Cambas, BAS CCS
• Karen S Campbell
• Katrevia Shyteria Campbell, CNM
• Andres A Cancel, PHARMD
• Michael Capote, P.T.

• Assistant Behavior Analyst in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.