Provider Demographics
NPI:1013883875
Name:RAVELO ALMONTE, JERKIN J
Entity type:Individual
Prefix:
First Name:JERKIN
Middle Name:J
Last Name:RAVELO ALMONTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JANDEL
Other - Middle Name:
Other - Last Name:RAVELO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4956 DOCKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2335
Mailing Address - Country:US
Mailing Address - Phone:321-330-8792
Mailing Address - Fax:
Practice Address - Street 1:1000 COLOR PL # 101
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-7717
Practice Address - Country:US
Practice Address - Phone:888-754-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician