Brenda Rosalind Breton, MED.CCC.SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10720 Issued in FL

Practice address

8108 SE Coconut St
Hobe Sound, FL 33455-4008

Phone

(772) 349-6317

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Positive Behavior Supports Corp

  • Community/Behavioral Health Agency
  • Hobe Sound, FL
  • NPI 1598027039
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1639438849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 MORNING GLORY CT APT 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102749",
            "telephone_number": "801-367-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 SE COCONUT ST",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554008",
            "telephone_number": "772-349-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETON",
        "first_name": "BRENDA",
        "middle_name": "ROSALIND",
        "credential": "MED.CCC.SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004799600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Wave Concierge, LLC
• Richard Bosso, RPH
• Lisa Garnet Bowe, PT
• Ellen Roberta Bradley, OD
• Brain and Spine Center, LLC
• Brett Greenwald Associates, LLC
• Bridge to Wellness Counseling and Consultation
• Marc D Brodsky, M.D.
• Pamela Pearl Brombly, L.M.T.
• Kimberly Annette Bronner

• Speech-Language Pathologist in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.