Active NPI
Anna Pruitt, RBT
- Behavior Technician
- Orlando, FL
National Provider Identifier
1760195911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-250533
- Practice address
- 3020 Lamberton Blvd Ste 107
Orlando, FL 32825-9124 - Phone
- (407) 490-2896
- Fax
- (689) 348-4395
- NPI assigned
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-250533 | FL | Primary |
Addresses
Primary practice location
3020 Lamberton Blvd Ste 107
Orlando, FL 32825-9124
Mailing address
3020 Lamberton Blvd Ste 107
Orlando, FL 32825-9124
Phone (407) 490-2896
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.flutterfliesaba.com | Direct | FLUTTERFLIES LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-250533 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flutterflies LLC | Behavior Technician | Current | Accepting new patients |
Locations
3020 Lamberton Blvd
Ste 107
Orlando, FL 32825
Phone (407) 490-2986
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1760195911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 LAMBERTON BLVD STE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328259124",
"telephone_number": "407-490-2896",
"fax_number": "689-348-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 LAMBERTON BLVD STE 107",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328259124",
"telephone_number": "407-490-2896",
"fax_number": "689-348-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "ANNA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-250533",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.flutterfliesaba.com",
"affiliation": "Y",
"endpointDescription": "Employer",
"affiliationName": "FLUTTERFLIES LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3020 Lamberton Blvd Ste 107",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328259124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.