Active NPI
Danielle Brown
- Behavior Analyst
- Plant City, FL
National Provider Identifier
1114440948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-62367
- Practice address
- 504 E Baker Street
Suite 1
Plant City, FL 33563-3358 - Phone
- (813) 704-6297
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-22-62367 | FL | Primary |
Addresses
Primary practice location
504 E Baker Street
Suite 1
Plant City, FL 33563-3358
Mailing address
1124 N Brunnell Pkwy
Lakeland, FL 33805-4111
Phone (352) 642-3953
Other practice location 1
1015 NW 56th Ter
Gainesville, FL 32605-4481
Phone (352) 835-5520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009093700 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Behavior Analysis Inc | Behavior Analyst | Current | Accepting new patients |
| Austin Connect to Wellness, LLC | Behavior Analyst | Past | Accepting new patients |
Locations
504 E Baker St
Ste 1
Plant City, FL 33563
Phone (813) 704-6297
Organizations & group practices 2
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.
-
- Behavior Analyst
- Plant City, FL
- NPI 1760067086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1114440948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 N BRUNNELL PKWY",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054111",
"telephone_number": "352-642-3953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E BAKER STREET",
"address_2": "SUITE 1",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335633358",
"telephone_number": "813-704-6297"
}
],
"practiceLocations": [
{
"address_1": "1015 NW 56th Ter",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326054481",
"country_code": "US",
"telephone_number": "352-835-5520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2022-12-20",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-22-62367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009093700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.