Jennifer Lynn Virostek, BCBA
Behavior Analyst in Oakland Park, FL. Individual provider (NPI-1).
NPI number1013207463
StatusActive
Last updated in NPPESApr 19, 2011
Details
- NPI
- 1013207463
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Virostek
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2011
- Last updated
- Apr 19, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 0093033 | FL | Yes |
Practice location
114 Lake Emerald Dr#103
Oakland Park, FL 33309-6247
Phone 561-714-7737
Mailing address
114 Lake Emerald Dr#103
Oakland Park, FL 33309-6247
Phone 561-714-7737
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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