Active NPI
Brandon Lee Velazquez-Colom
- Behavior Technician
- Port Charlotte, FL
National Provider Identifier
1306618848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 18245 Paulson Dr Ste 132
Port Charlotte, FL 33954-1019 - Phone
- (813) 528-7048
- Fax
- (855) 610-2343
- NPI assigned
- Oct 27, 2023
- Last updated
- Mar 24, 2026
- Sex
- Male
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
18245 Paulson Dr Ste 132
Port Charlotte, FL 33954-1019
Mailing address
4323 Ozark Ave
North Port, FL 34287-3975
Phone (330) 289-0619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120210500 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1306618848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 OZARK AVE",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342873975",
"telephone_number": "330-289-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18245 PAULSON DR STE 132",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339541019",
"telephone_number": "813-528-7048",
"fax_number": "855-610-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ-COLOM",
"first_name": "BRANDON",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-27",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120210500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
- Armando Vazquez, APRN
- Tanya C Vazquez, LMHC
- VCV Hearing Labs, LLC
- Mary C Vega, PT
- Satish Velagapudi, M.D
- Carlos Alberto Velez, MD
- Giuseppe Ventre, M.D.
- Jovanni H Villadarez, M.D.
- Village Place Healthcare and Rehabilitation Center LLC
- Village Place NH LLC (Village Place Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.