Anna M Koehn, RBT

Individual provider Active NPI Behavior Technician · Port St Lucie, FL

NPI 1629634910 · NPPES record last updated Jan 2, 2026

Key facts

NPI
1629634910
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553
Phone
(772) 463-0444
Fax
(772) 219-1339
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Basics, Incorporated Current
since Nov 26, 2023
Accepting new patients
Behavior Basics, Incorporated Current
since Nov 26, 2023
Accepting new patients
Behavior Services of Brevard, Inc. Behavior Technician Past Accepting new patients
Behavior Services of Brevard County Past Accepting new patients

Locations

1801 SE Hillmoor Dr
Ste B101103
Port St Lucie, FL 34952
Phone (321) 425-3231

1887 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (786) 259-5333

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553

Mailing address

2197 Greyfield St NE
Palm Bay, FL 32907-2500
Phone (570) 899-2380

Other providers in Port St Lucie, FL

All providers in Port St Lucie, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.