Grizzly Nicole Muniz de Jesus

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1124 Kyle Wood LN
Brandon, FL 33511-4850

Phone

(863) 619-2809

NPI assigned

Apr 25, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1003604588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 KYLE WOOD LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114850",
            "telephone_number": "863-619-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 KYLE WOOD LN",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114850",
            "telephone_number": "863-619-2809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3109 W Dr Martin Luther King Jr Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076220",
            "country_code": "US",
            "telephone_number": "813-371-0549",
            "fax_number": "800-899-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ DE JESUS",
        "first_name": "GRIZZLY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Muir
• Susan Faye Mulero, M.D.
• Kyle Thomas Mullan, DC
• Morgan Elizabeth Muller
• Cade Joseph Mullins, DO
• Angela Munoz-Rivera
• Amrita Murgasen, M.S.
• Brittney Murphy
• Rachael Murphy, APRN
• Angie Murray, LMHC

• Behavior Technician in Brandon, FL
• Providers in Brandon, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.