Individual provider Active NPI

Johana Escobar

  • Behavior Analyst
  • Pompano Beach, FL
National Provider Identifier
1902444599
Registry record updated Dec 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387
Phone
(305) 807-1909
NPI assigned
Dec 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

3520 Oaks Way Apt 904
Pompano Beach, FL 33069-5387

Mailing address

4585 SW 165TH Ave
Miami, FL 33185-5210
Phone (786) 597-1675

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Medtunnel

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

NPI Registry JSON

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1902444599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4585 SW 165TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855210",
            "telephone_number": "786-597-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 OAKS WAY APT 904",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330695387",
            "telephone_number": "305-807-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "JOHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medtunnel",
            "affiliation": "N",
            "address_1": "3520 Oaks Way Apt 904",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330695387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.