Holly Ann Brolmann

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-40942 Issued in FL

Practice address

906 Seminole Dr
Fort Pierce, FL 34982-7648

Phone

(772) 216-2501

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Atlantic ABA, LLC

  • Behavior Analyst
  • Fort Pierce, FL
  • NPI 1871170803
  NPD Authorized official

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1861918773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 SEMINOLE DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827648",
            "telephone_number": "772-216-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SEMINOLE DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827648",
            "telephone_number": "772-216-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROLMANN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-40942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019929700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Britcher-Speck, ARNP
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• Jose Carlos Brito Pita, RBT
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• Broadmoor Operations, LLC
• Karaya Brooks, RN, ARNP
• Latorrie Brooks, LPN
• Miranda Brooks, OTR/L
• Jennifer Brown Rios
• Naomi Brown-Youmans

• Behavior Analyst in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.