Jamie Lynn Brannan, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-17-46015 Issued in FL

Practice address

528 Cecil G Costin Sr Blvd Ste a
Port Saint Joe, FL 32456-1754

Phone

(850) 229-2756

NPI assigned

Jan 8, 2019

Last updated

Jun 19, 2025By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shoreline Center for Exceptional Students, LLC

  dba Shoreline Center

  • Behavior Analyst
  • Port St Joe, FL
  • NPI 1891303244

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1336612761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 LISTER DR",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324655639",
            "telephone_number": "850-227-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 CECIL G COSTIN SR BLVD STE A",
            "city": "PORT SAINT JOE",
            "state": "FL",
            "postal_code": "324561754",
            "telephone_number": "850-229-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-46015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105327300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126060000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Wellness LLC
• Bayside Medical of Northwest FL LLC
• Lisa Lynn Bell, RCSWI, MSW
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Port St. Joe)
• Tracie Ann Butts, MS, BCBA
• Joanne Buzzett, M.S. CCC/SLP
• Coastal Counseling and Therapy LLC (Coastal Counseling & Therapy)
• Kalah Khamalah Cobourne
• Dailey Therapy, LLC

• Behavior Technician in Port Saint Joe, FL
• Providers in Port Saint Joe, FL by specialty
• Behavior Technician in Florida

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