Jennifer Bruen, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28598 Issued in FL

Practice address

166 Professional Way
Wellington, FL 33414-6391

Phone

(561) 570-1566

NPI assigned

Jul 2, 2018

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

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1770079873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8029 KINGSWOOD WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402144",
            "telephone_number": "321-298-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PROFESSIONAL WAY",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146391",
            "telephone_number": "561-570-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16414 Lake Church Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335562637",
            "country_code": "US",
            "telephone_number": "813-926-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUEN",
        "first_name": "JENNIFER",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-28598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770079873",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Lynn Brown, LMFT
• Madeline Brown, FNP
• Monifa Brown
• Paulette Brown, R.N.
• Michael L. Bruck, M.D., F.A.A.P.
• Sheri T. Bruno, MS,CCC-SLP
• Jodi Brunsvold, OTR/L
• Carleene Anthonett Bryan, M.D.
• Kelli Danielle Bryant, M.D.
• Geetha Nampi Buckler, M.D.

• Behavior Analyst in Wellington, FL
• Providers in Wellington, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.