Individual provider Active NPI

Brooke Solano Staubus, BCBA

  • Behavior Analyst
  • St Augustine, FL
National Provider Identifier
1558970459
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43447 Issued in FL
Practice address
180 Center Place Way
St Augustine, FL 32095-8859
Phone
(904) 342-9245
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-43447 FL Primary

Addresses

Primary practice location

180 Center Place Way
St Augustine, FL 32095-8859

Mailing address

3372 Canyon Falls Dr
Green Cove Springs, FL 32043-9228
Phone (904) 342-9245

Other practice location 1

2176 Park Ave Ste 102
Orange Park, FL 32073-5586
Phone (904) 297-0054

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

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1558970459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 CANYON FALLS DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320439228",
            "telephone_number": "904-342-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CENTER PLACE WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958859",
            "telephone_number": "904-342-9245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2176 Park Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320735586",
            "country_code": "US",
            "telephone_number": "904-297-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUBUS",
        "first_name": "BROOKE",
        "middle_name": "SOLANO",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-43447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.