Jackeline A Montenegro Ricco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

200 SE 19TH Ave
Pompano Beach, FL 33060-7543

Phone

(954) 416-2444

NPI assigned

Aug 24, 2017

Sex

Female

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

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.

• Heartwell Home Health Care Corp.

  • Home Health Agency
  • Doral, FL
  • NPI 1669636684
  NPD (past)
• Heartwell Home Health Care Corp.

  • Behavior Analyst
  • Doral, FL
  • NPI 1972272979
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1659898146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SE 19TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607543",
            "telephone_number": "954-416-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE 19TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607543",
            "telephone_number": "954-416-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO RICCO",
        "first_name": "JACKELINE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moncur Medical Transportation Inc.
• Stanley Mondesir, RRT
• Emily C Monteer, BCABA
• Montel Therapy & Wellness LLC
• Morgan E Montel, LCSW
• Paige Dawes Monterrosa, AP
• Hector Montes
• Melody Marie Montes, BS
• Melanie Montgomery
• Montmann Medical Solutions, LLC

• Behavior Technician in Pompano Beach, FL
• Providers in Pompano 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 Mar 29, 2022; 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.