Individual provider Active NPI

Jaylen B Delgado Bauta

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1851900690
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20127662 Issued in FL
Practice address
4616 SW 139TH CT
Miami, FL 33175-4455
Phone
(786) 630-7939
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 RBT20127662 FL Primary

Addresses

Primary practice location

4616 SW 139TH CT
Miami, FL 33175-4455

Mailing address

4616 SW 139TH CT
Miami, FL 33175-4455
Phone (786) 630-7939

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami

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
RBT20127662FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1851900690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 SW 139TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754455",
            "telephone_number": "786-630-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 SW 139TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754455",
            "telephone_number": "786-630-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO BAUTA",
        "first_name": "JAYLEN",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20127662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Miami",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Miami",
            "address_1": "4616 SW 139th Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331754455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.