Active NPI
Camila Velez de Jesus
- Behavior Technician
- Longwood, FL
National Provider Identifier
1982483194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1060 W State Road 434 Ste 108
Longwood, FL 32750-4953 - Phone
- (407) 324-7772
- Fax
- (321) 248-0717
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
1060 W State Road 434 Ste 108
Longwood, FL 32750-4953
Mailing address
12036 Sonnet Ave
Orlando, FL 32832-5089
Phone (321) 444-0472
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Path ABA | Current | Accepting new patients |
Locations
1060 W State Road 434
Ste 108
Longwood, FL 32750
Phone (407) 260-0551
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1982483194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12036 SONNET AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328325089",
"telephone_number": "321-444-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 W STATE ROAD 434 STE 108",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504953",
"telephone_number": "407-324-7772",
"fax_number": "321-248-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ DE JESUS",
"first_name": "CAMILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.