Individual provider Active NPI

Jeneissy Balcazar, BCBA

  • Behavior Analyst
  • Miramar, FL
National Provider Identifier
1669377206
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-2833081 Issued in FL
Practice address
2088 SW 175TH Ave
Miramar, FL 33029-5526
Phone
(305) 298-4189
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-26-2833081 FL Primary

Addresses

Primary practice location

2088 SW 175TH Ave
Miramar, FL 33029-5526

Mailing address

2088 SW 175TH Ave
Miramar, FL 33029-5526
Phone (305) 298-4189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1669377206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2088 SW 175TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295526",
            "telephone_number": "305-298-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2088 SW 175TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295526",
            "telephone_number": "305-298-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCAZAR",
        "first_name": "JENEISSY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-2833081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.