Maria Priscilla Brujan, BCBA
Individual provider Active NPI Behavior Analyst · Orlando, FL
NPI 1386150274 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1386150274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-21-54365 (FL)
- Practice address
- 907 Outer Rd Ste B
Orlando, FL 32814-6601 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-54365 | FL | Yes |
Addresses
Primary practice location
907 Outer Rd Ste B
Orlando, FL 32814-6601
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Phone (855) 832-6727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386150274 | Medicaid | FL |
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.