Brooke Rutland Hansen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-04-2030 Issued in FL

Practice address

916 NE 4TH St
Pompano Beach, FL 33060-6416

Phone

(954) 643-6033

Fax

(954) 301-0604

NPI assigned

Apr 29, 2011

Sex

Female

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.

• Infinite Abilities Inc.

  • Behavior Analyst
  • Pompano Beach, FL
  • NPI 1386304236
  NPD Authorized official
• Infinite Abilities Inc.

  • Behavior Analyst
  • Pompano Beach, FL
  • NPI 1831699677
  NPD Authorized official

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1104117704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 NE 7TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624903",
            "telephone_number": "954-643-6033",
            "fax_number": "954-301-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NE 4TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606416",
            "telephone_number": "954-643-6033",
            "fax_number": "954-301-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BROOKE",
        "middle_name": "RUTLAND",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-29",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Harbor House Recovery
• Harbor House Recovery Inc

• Behavior Analyst in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.