Brittany Lynette Bordeaux, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

5428 Issued in FL

Practice address

501 66TH St N
St Petersburg, FL 33710-6939

Phone

(727) 452-1710

NPI assigned

Sep 6, 2022

Last updated

Sep 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1316668619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 RUSSELL DR N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104549",
            "telephone_number": "727-687-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106939",
            "telephone_number": "727-452-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDEAUX",
        "first_name": "BRITTANY",
        "middle_name": "LYNETTE",
        "name_prefix": "Miss",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "5428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Booker, LCSW
• Erin Boone
• Wanda M Boote, MD
• Louise Helen Boothby-Llorente, PH.D.
• Karen Boozy, BA
• Amanda Glynne Borden
• Heather Borders, MBA, RD, LD/N
• Holly Suzanne Bordon, M.D.
• Kenny Borgas
• Christina Borghi

• Speech-Language Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.