Active NPI
Charlene Walker
- Behavior Technician
- Palm Bay, FL
National Provider Identifier
1780027201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2180 Julian Ave NE
Palm Bay, FL 32905-4020 - Phone
- (321) 345-0861
- NPI assigned
- Apr 15, 2013
- 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 | Primary |
Addresses
Primary practice location
2180 Julian Ave NE
Palm Bay, FL 32905-4020
Mailing address
125 E Nasa Blvd
Melbourne, FL 32901-1900
Phone (321) 345-4232
Other practice location 1
5830 US Highway 1
Rockledge, FL 32955-5761
Phone (321) 609-9007
Other practice location 2
125 E Nasa Blvd
Melbourne, FL 32901-1900
Phone (321) 345-4232
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleidoscope Interventions | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Rockledge, FL
- NPI 1902200116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1780027201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E NASA BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011900",
"telephone_number": "321-345-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 JULIAN AVE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054020",
"telephone_number": "321-345-0861"
}
],
"practiceLocations": [
{
"address_1": "5830 US Highway 1",
"address_purpose": "LOCATION",
"city": "Rockledge",
"state": "FL",
"postal_code": "329555761",
"country_code": "US",
"telephone_number": "321-609-9007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 E Nasa Blvd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329011900",
"country_code": "US",
"telephone_number": "321-345-4232",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "CHARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.