Active NPI
Alyssa Brooks, BCBA
- Behavior Analyst
- Orlando, FL
National Provider Identifier
1306204722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-28318
- Practice address
- 8617 E Colonial Dr Ste 1100
Orlando, FL 32817-3919 - Phone
- (407) 895-0801
- NPI assigned
- Jan 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-17-28318 | FL | Primary |
Addresses
Primary practice location
8617 E Colonial Dr Ste 1100
Orlando, FL 32817-3919
Mailing address
3062 Bluebrook Dr
Winter Park, FL 32792-8704
Phone (321) 439-0688
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 |
|---|---|---|---|
| Latino Leadership, Inc. | Behavior Analyst | Current | Accepting new patients |
Locations
8617 E Colonial Dr
Ste 1100
Orlando, FL 32817
Phone (407) 895-0811
Organizations & group practices 1
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
- Orlando, FL
- NPI 1861882631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1306204722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3062 BLUEBROOK DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327928704",
"telephone_number": "321-439-0688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8617 E COLONIAL DR STE 1100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328173919",
"telephone_number": "407-895-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "ALYSSA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-30",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-17-28318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.