Chelsea Bracknell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-226374

Practice address

1258 W Bay Dr Ste F
Largo, FL 33770-2240

Phone

(727) 641-0218

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waves Behavioral Solutions, LLC

  • Behavior Analyst
  • Largo, FL
  • NPI 1598254179
  NPD (past)

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1851027718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SW LINCOLN CIR N APT 1",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 W BAY DR STE F",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702240",
            "telephone_number": "727-641-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKNELL",
        "first_name": "CHELSEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-226374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Erin Bowman
• Tracy L. Boyd, LICSW
• Whitney Leigh Boyd, PA
• Andrew James Boyle, M.D.
• Bracing Partners, Inc
• Bradberry Chiropractic, P.a.
• Hannah Bradham
• Ashley Danielle Bradley, D.M.D.
• Brain and Spine Neuroscience Institute, LLC (The Florida Center for Minimally Invasive Neurosurgery)
• Iris Brancaglione Lima, PT

• Behavior Technician in Largo, FL
• Providers in Largo, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.