Team ABA PBS

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

TEAM ABA PBS

Practice address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Phone

(800) 522-7277

NPI assigned

Feb 4, 2025

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Denise Elaine Brake

Title

RBT

Phone

(706) 938-4956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1356155865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "800-522-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "800-522-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM ABA PBS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "RBT",
        "authorized_official_telephone_number": "706-938-4956"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Taylor
• Zynia Taylor
• TC Tots
• Fridos Tchontchoko
• TDC Stuart,LLC (Stuart Modern Dentists)
• Lynn Frances Teardo, CCCP/SLP
• Marcella Tedeschi
• Carmen Amanda Teets
• Brandie Lee Renart Teitler, PA-C
• Sonia Tejada

• Developmental Disabilities Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.