Active NPI
Jayda Rayanna Brookins
- Behavior Technician
- Dunnellon, FL
National Provider Identifier
1043093693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT23291661
- Practice address
- 11808 N Ohio St
Dunnellon, FL 34431-6724 - Phone
- (352) 342-5006
- NPI assigned
- Aug 17, 2023
- Last updated
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | RBT23291661 | FL | Primary |
Addresses
Primary practice location
11808 N Ohio St
Dunnellon, FL 34431-6724
Mailing address
5428 SW 100TH Loop
Ocala, FL 34476-3801
Phone (352) 816-6546
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT23291661 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practical Behavior Solutions, LLC | Single Specialty | Current | Accepting new patients |
Locations
11808 N Ohio St
Dunnellon, FL 34431
Phone (352) 342-5006
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1043093693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5428 SW 100TH LOOP",
"city": "OCALA",
"state": "FL",
"postal_code": "344763801",
"telephone_number": "352-816-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 N OHIO ST",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "344316724",
"telephone_number": "352-342-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKINS",
"first_name": "JAYDA",
"middle_name": "RAYANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT23291661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunnellon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.