Individual provider Active NPI

Jenny Carolina Sotomayor, RBT

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1720724370
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20-129416 Issued in FL
Practice address
1300 N Semoran Blvd Ste 200
Orlando, FL 32807-3567
Phone
(321) 890-4038
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2022

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 RBT20-129416 FL Primary

Addresses

Primary practice location

1300 N Semoran Blvd Ste 200
Orlando, FL 32807-3567

Mailing address

1300 N Semoran Blvd Ste 200
Orlando, FL 32807-3567
Phone (321) 890-4038

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
RBT20-129416FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Kids Behavioral Learning LLC CurrentSince Dec 22, 2024 Accepting new patients

Locations

1300 N Semoran Blvd
Ste 200
Orlando, FL 32807
Phone (321) 890-4038

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1720724370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N SEMORAN BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073567",
            "telephone_number": "321-890-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N SEMORAN BLVD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073567",
            "telephone_number": "321-890-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMAYOR",
        "first_name": "JENNY",
        "middle_name": "CAROLINA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20-129416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.