Jenesha J Etienne

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-21-12510 Issued in FL

Practice address

4727 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5326

Phone

(321) 972-4039

NPI assigned

Mar 27, 2018

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

Other identifiers 1

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.

• ABA Avenue LLC

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1508622416
  NPD Authorized official
• Camen Behavioral Services, LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1174916563
  NPD (past)
• Camen Behavioral Services, LLC

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1720548860
  NPD (past)
• Trek Behavioral Services, LLC

  • Behavior Analyst
  • Lakeland, FL
  • NPI 1831560762
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1740785393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 EAGLE ISLE CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347461907",
            "telephone_number": "407-487-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465326",
            "telephone_number": "321-972-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "JENESHA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-12510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019102000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Napoleon N Estrada, M.D.
• Eleana Cristina Estrella, DO
• Maria Estupinan
• Michelle A Esty
• Edgar Lee Etienne
• Lynn Eugene
• Rommel G Eusebio
• Timothy Eustace
• David L. Euwema LMHC, LMHC
• Evan Home Care LLC

• Assistant Behavior Analyst in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.