Active NPI
Brandon McClelland
- Assistant Behavior Analyst
- Navarre, FL
National Provider Identifier
1154989416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- QASP-S-11956
- Practice address
- 7552 Navarre Pkwy Unit 62
Navarre, FL 32566-7305 - Phone
- (850) 860-4050
- NPI assigned
- Jun 3, 2019
- Sex
- Male
- 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 Technician | 106S00000X | RBT-19-87866 | FL | |
| Assistant Behavior Analyst | 106E00000X | QASP-S-11956 | FL | Primary |
Addresses
Primary practice location
7552 Navarre Pkwy Unit 62
Navarre, FL 32566-7305
Mailing address
8200 Country Bay Blvd
Navarre, FL 32566-7981
Phone (850) 499-6395
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 |
|---|---|---|---|
| QASP-S-11956 | FL | MD | Assistant Behavior Analyst |
| RBT-19-87866 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627862400000",
"number": "1154989416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 COUNTRY BAY BLVD",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667981",
"telephone_number": "850-499-6395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7552 NAVARRE PKWY UNIT 62",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667305",
"telephone_number": "850-860-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAND",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-03",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-87866",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "QASP-S-11956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.