Individual provider Active NPI

Andrew Bortzner

  • Behavior Analyst
  • Melbourne, FL
National Provider Identifier
1316339849
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-55820 Issued in FL
Practice address
2543 Empire Ave
Melbourne, FL 32934-7577
Phone
(321) 323-4123
NPI assigned
Feb 20, 2015
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-55820 FL Primary

Addresses

Primary practice location

2543 Empire Ave
Melbourne, FL 32934-7577

Mailing address

2543 Empire Ave
Melbourne, FL 32934-7577
Phone (321) 323-4123

Other practice location 1

50 Cahaba River Parc Unit 225
Birmingham, AL 35243-3256
Phone (321) 323-4123

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KT-ABA Alabama LLC Behavior Analyst Current Accepting new patients
KT-ABA LLC Behavior Analyst CurrentSince Jul 19, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1316339849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 EMPIRE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347577",
            "telephone_number": "321-323-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 EMPIRE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347577",
            "telephone_number": "321-323-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Cahaba River Parc Unit 225",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433256",
            "country_code": "US",
            "telephone_number": "321-323-4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORTZNER",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-55820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.