Judith Brantley Inghram, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-03-1324 Issued in FL

Practice address

1470 Rolling Ridge Rd
Palm Harbor, FL 34683-2825

Phone

(727) 460-4968

Fax

(727) 771-7371

NPI assigned

Apr 20, 2009

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 names 1

• Judith Marie Brantley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Behavioral Change Solutions, LLC

  • Behavior Analyst
  • Palm Harbor, FL
  • NPI 1811131881
  NPD (past) Authorized official

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1649413766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 ROLLING RIDGE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832825",
            "telephone_number": "727-460-4968",
            "fax_number": "727-771-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 ROLLING RIDGE RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832825",
            "telephone_number": "727-460-4968",
            "fax_number": "727-771-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGHRAM",
        "first_name": "JUDITH",
        "middle_name": "BRANTLEY",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-03-1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "BRANTLEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark D Iacobucci, P. T.
• Brooke Aleah Ianiero, DPT
• Marie Graf Ibrahim, RDN
• Marina Ibrahim, PHARMD.
• Impact Health and Performance, LLC
• Stacey Ingram
• Inner Peace Counseling & Wellness
• Innovative Care Network LLC
• Innovative Wellness, Inc.
• Insight Spine LLC

• Behavior Analyst in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.