Joseph Bradley Randolph

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

121 N Highland St
Mount Dora, FL 32757-5764

Phone

(813) 438-6796

NPI assigned

Sep 19, 2022

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KNR Therapy, LLC

  • Behavior Analyst
  • Tampa, FL
  • NPI 1174089395
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1073236758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 TECH BLVD STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197863",
            "telephone_number": "813-438-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N HIGHLAND ST",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575764",
            "telephone_number": "813-438-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JOSEPH",
        "middle_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Erelis Radix, MD
• Bonita D Rambo, CRNA
• Efrain Sanchez Ramirez
• Hector Ramirez Jr., M.D.
• Nicholas Ramirez
• Britney Raymond
• Recovery Solutions Health Group, LLC
• Recovery Solutions of Central Florida, Inc
• Sylvia Christine Redd-Norfleet, RPH
• Lana R Redinger, LMT

• Behavior Technician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.