Jennisbel Bosch

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-25-81793 Issued in FL

Practice address

1509 Tena Ave S
Lehigh Acres, FL 33976-3421

Phone

(786) 208-0964

NPI assigned

Nov 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strategic Applied Behavior Analysis Corp

  • Behavior Analyst
  • Punta Gorda, FL
  • NPI 1699320465
  NPD (past)

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1881469146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 TENA AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339763421",
            "telephone_number": "786-208-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 TENA AVE S",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339763421",
            "telephone_number": "786-208-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "JENNISBEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-81793",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Boney
• Stephanie T Booker
• Tanya Lynn Booker
• Ania Borges
• Roselande Bornelus
• Jania Boucher
• Guillermo Boudet Rodriguez
• Angela Dawn Bowen, ARNP, FNP-C
• Merary Bozada Diaz
• Brandi Rae Bradford

• Behavior Analyst in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.