Individual provider Active NPI

Jose Alejandro Mesa Roy

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1639905573
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-376037 Issued in FL
Practice address
6533 Emerald Dunes Dr Apt 303
West Palm Beach, FL 33411-2772
Phone
(305) 984-9014
NPI assigned
Sep 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-376037 FL Primary

Addresses

Primary practice location

6533 Emerald Dunes Dr Apt 303
West Palm Beach, FL 33411-2772

Mailing address

6533 Emerald Dunes Dr Apt 303
West Palm Beach, FL 33411-2772
Phone (305) 984-9014

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

LicenseStateTypeSpecialty
RBT-24-376037FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1639905573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 EMERALD DUNES DR APT 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112772",
            "telephone_number": "305-984-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 EMERALD DUNES DR APT 303",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112772",
            "telephone_number": "305-984-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA ROY",
        "first_name": "JOSE",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-376037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.