Organization Active NPI

Jumpstart Developmental Services LLC

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1699363291
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
JUMPSTART DEVELOPMENTAL SERVICES LLC
Practice address
5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434
Phone
(786) 431-5801
Fax
(786) 353-9177
NPI assigned
Jan 8, 2021
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Ryan Justin Montoto
Title
Owner/Operator
Phone
(786) 245-1405

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434

Mailing address

5979 NW 151St St Ste 102I
Miami Lakes, FL 33014-2434
Phone (786) 431-5801

Other identifiers 1

IdentifierTypeStateIssuer
103180400MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address admin@jumpstart.direct.kno2fy.com Direct
Direct Messaging Address ryanmontoto@jumpstartdevelopmentalservices.com Direct

National Provider Directory

National Provider Directory

Locations

5767 NW 151st St
#B
Miami Lakes, FL 33014
Phone (786) 431-5801

5767 NW 151st St
Ste B
Miami Lakes, FL 33014
Phone (305) 512-6008

5777 NW 151st St
Miami Lakes, FL 33014
Phone (305) 819-1000

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1699363291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 102I",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142434",
            "telephone_number": "786-431-5801",
            "fax_number": "786-353-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 102I",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142434",
            "telephone_number": "786-431-5801",
            "fax_number": "786-353-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMPSTART DEVELOPMENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MONTOTO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "786-245-1405"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103180400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@jumpstart.direct.kno2fy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5777 NW 151st St",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330142483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryanmontoto@jumpstartdevelopmentalservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5979 NW 151st St Ste 102I",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330142434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.