Active NPI
Jessica Amieva Aguilar
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1619727138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1101 NW 124TH Ave
Pembroke Pines, FL 33026-4321 - Phone
- (305) 429-9969
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
1101 NW 124TH Ave
Pembroke Pines, FL 33026-4321
Mailing address
1101 NW 124TH Ave
Pembroke Pines, FL 33026-4321
Phone (305) 429-9969
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1619727138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 NW 124TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264321",
"telephone_number": "305-429-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NW 124TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330264321",
"telephone_number": "305-429-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIEVA AGUILAR",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
- American Therapy House
- Americas Chiropractic & Wellness Centers, LLC
- Americas Chiropractic & Wellness Ctr, LLC
- Americas Chiropractic Centers Inc
- Amicus Medical Center LLC
- Kayvan Amini, D.O.
- Amity Care Transportation LLC
- Amonem Inc. (Pembroke Square Dental)
- Annelys Amores Rodriguez
- Ana M Hernandez D O P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.