Active NPI
Rhedonda Lee Humpert
- Behavior Technician
- Palm Bay, FL
National Provider Identifier
1063925147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1320 Culver Dr NE Ste 3
Palm Bay, FL 32907-1104 - Phone
- (321) 914-4055
- Fax
- (321) 428-4112
- NPI assigned
- Nov 10, 2017
- Last updated
- Nov 10, 2017
- 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 | NU | Primary |
Addresses
Primary practice location
1320 Culver Dr NE Ste 3
Palm Bay, FL 32907-1104
Mailing address
2265 Allan Adale Rd
Melbourne, FL 32935-3702
Phone (321) 265-9554
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1063925147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2265 ALLAN ADALE RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353702",
"telephone_number": "321-265-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CULVER DR NE STE 3",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329071104",
"telephone_number": "321-914-4055",
"fax_number": "321-428-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPERT",
"first_name": "RHEDONDA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-10",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.