Kenya A'Leesha Alyxx Jack

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-261244 Issued in FL

Practice address

450 N Park Rd Ste 400
Hollywood, FL 33021-6918

Phone

(954) 925-3191

NPI assigned

Mar 1, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Cadenza Center for Psychotherapy & the Arts, Inc.

  • Clinical Psychologist
  • Hollywood, FL
  • NPI 1134249816
  NPD (past)

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1891552378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 PALM TRACE LANDINGS DR APT 313",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141888",
            "telephone_number": "954-683-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N PARK RD STE 400",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216918",
            "telephone_number": "954-925-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "KENYA",
        "middle_name": "A'LEESHA ALYXX",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-261244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naylen Izquierdo
• Wilson Izquierdo, M.D.
• Jessica L. Izyk, PT, DPT
• J Craig Uecker MD PA
• Israel Salvador Jacas Carvajal
• Jade Indira Jackson
• Tamara M Jackson
• Tiffany Chelan Jackson, MSN, RN
• Yinka Shuntina Jackson, APRN
• Binish Kinalath Jacob

• Behavior Technician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.