Tammy-Lee Connor

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

247200000X Issued in FL

Practice address

2449 SW Vardon St
Port St Lucie, FL 34953-2445

Phone

(772) 453-1458

NPI assigned

Apr 18, 2017

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

Other names 1

• Mrs. Tammy-Lee Breault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1669906525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 SW VARDON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532445",
            "telephone_number": "772-453-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 SW VARDON ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532445",
            "telephone_number": "772-453-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "TAMMY-LEE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "247200000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247200000X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY-LEE",
            "last_name": "BREAULT",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connect Healthcare Services LLC
• Alexa Connell
• Robin John Connolly, M.D.
• Marilyn Connor
• Rosemarie Connor, PA-C
• Conrad J Kusel DDS PA
• Consumer Support Network, LTD. Co.
• Lawrence G Conte
• Ismael Noah Contreras
• Ashley Noelle Cook, LCSW

• Assistant Behavior Analyst in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.