Jennifer Charles, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-06-3180 Issued in FL

Practice address

17855 NW 18TH Ave
Miami Gardens, FL 33056-4948

Phone

(561) 541-0428

NPI assigned

Mar 15, 2010

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

Credentials

Master of Science

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.

• Building Block Resolutions

  • Behavior Analyst
  • Marina del Rey, CA
  • NPI 1376933721
  NPD Authorized official

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1811211295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 NW 18TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564948",
            "telephone_number": "561-541-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17855 NW 18TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564948",
            "telephone_number": "561-541-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JENNIFER",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-06-3180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Alejandra Chacon Acosta
• Mayte Chacon Seijas
• Leydi Laura Chao Gonzalez
• Patrick Charite
• Dominique Charles-Boute
• Winy Sophie Charles
• Ana Paula Chauvin Copello, MS
• Marisol Chaveco Gonzalez
• Chaveco Home Care Services LLC
• Carlos Alberto Chavez Barban

• Behavior Analyst in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.