Jeffrey Fuentes

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1169288 Issued in FL

Practice address

12210 NW 18TH PL
Miami, FL 33167-2131

Phone

(786) 448-8877

NPI assigned

Nov 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1659196301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NW 16TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 NW 18TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331672131",
            "telephone_number": "786-448-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 NW 16th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331251926",
            "country_code": "US",
            "telephone_number": "786-448-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "JEFFREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1169288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileana Fuentes, MD
• Janelle Alicia Fuentes
• Janessa Marie Fuentes, ACNP-BC
• Jany Fuentes, APRN
• Jeanelle Victoria Fuentes
• Jina Jocasta Fuentes
• Jose Fuentes
• Juliette Fuentes
• Kalil Rafael Fuentes
• Karel Fuentes, M.D.

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.