Ann Marie Brumbeloe, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-221543 Issued in FL

Practice address

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066

Phone

(407) 304-7342

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1225769938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12936 DOUBLE RUN RD",
            "city": "ASTATULA",
            "state": "FL",
            "postal_code": "347059592",
            "telephone_number": "407-304-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807066",
            "telephone_number": "407-304-7342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 W Dixie Ave",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347482602",
            "country_code": "US",
            "telephone_number": "800-378-7597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMBELOE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-221543",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Brink, MS, LCGC
• Carolyn Anne Brooks
• Brandi M. Brown, NP
• Megan Yvonne Bailey Bruce
• Natalia Bruchanski-Gallagher, MD
• Richard Buchikos Jr.
• Jaia Bumagat
• Lakenya Burke-Ray
• Danielle Burrow, M.A.
• Atichat Busracamwongs, M.D.

• Behavior Technician in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.