Individual provider Active NPI

Francie Brucculeri

  • Behavior Technician
  • Pompano Beach, FL
National Provider Identifier
1356026264
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-279580 Issued in FL
Practice address
916 NE 4TH St
Pompano Beach, FL 33060-6416
Phone
(954) 643-6033
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-279580 FL Primary

Addresses

Primary practice location

916 NE 4TH St
Pompano Beach, FL 33060-6416

Mailing address

904 Coral Club Dr
Coral Springs, FL 33071-5644

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

State licenses

LicenseStateTypeSpecialty
RBT-23-279580FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Abilities Inc. Behavior Technician CurrentSince Jun 25, 2023 Accepting new patients
Infinite Abilities Inc. PastSince Jun 25, 2023 Accepting new patients

Locations

916 NE 4th St
Pompano Beach, FL 33060
Phone (954) 212-9126

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1356026264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CORAL CLUB DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330715644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NE 4TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606416",
            "telephone_number": "954-643-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCCULERI",
        "first_name": "FRANCIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-279580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.