MEDICARE: JADE BURGOS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225527401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE BURGOS

Provider Business Mailing Address
First Line	:	542 LEE AVE
Second Line	:
City	:	SATELLITE BEACH
State	:	FL
Zip	:	32937-2912
Country	:	US
Telephone Number	:	321-794-1462
Fax Number	:

Provider Business Practice Location Address
First Line	:	542 LEE AVE
Second Line	:
City	:	SATELLITE BEACH
State	:	FL
Zip	:	32937-2912
Country	:	US
Telephone Number	:	321-794-1462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	07/23/2021

Similar Medicare Providers

1215904354 — GULNAZ MIRZA MD
Practice Location Address:

8190 S JOG RD , SUITE 120
BOYNTON BEACH, FL
33472-2912

Practice Phone: 561-964-1411
Practice Fax: 561-964-3039

1629158100 — CYPRESS CENTER PHARMACY, INC.
Practice Location Address:

2912 OCEAN DR
VERO BEACH, FL
32963-1949

Practice Phone: 772-231-6931
Practice Fax: 772-231-0731

1588700090 — TO-NGUYEN THI HOANG D.M.D., P.A.
Practice Location Address:

8190 JOG RD , SUITE 240
BOYNTON BEACH, FL
33437-2912

Practice Phone: 561-732-8001
Practice Fax: 561-732-8095

1275749970 — DR. SNEHAL V TOBKES D.P.T.
Practice Location Address:

307 LINDELL BLVD
LONG BEACH, NY
11561-2912

Practice Phone: 516-587-0256
Practice Fax:

1134382641 — PHYSICIANS GROUP OF THE PALM BEACHES LLC
Practice Location Address:

8190 JOG RD , SUITE 100
BOYNTON BEACH, FL
33472-2912

Practice Phone: 561-369-2144
Practice Fax:

1306000211 — KIPRIANOS S ARMENAKIS MD
Practice Location Address:

2205 BAY DR
POMPANO BEACH, FL
33062-2912

Practice Phone: 754-888-5656
Practice Fax:

Directions to “ JADE BURGOS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.