Individual provider Active NPI

Brittany Michele Claude

  • Behavior Technician
  • Port Orange, FL
National Provider Identifier
1932698131
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4647 Clyde Morris Blvd Suite 501
Port Orange, FL 32129
Phone
(386) 767-3752
Fax
(386) 767-4319
NPI assigned
May 3, 2018
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

4647 Clyde Morris Blvd Suite 501
Port Orange, FL 32129

Mailing address

113 N Coopers Hawk CT
Palm Coast, FL 32164-2319
Phone (386) 864-1736

Other practice location 1

1128 Beville Rd
Daytona Beach, FL 32114-5747
Phone (386) 267-3161

Other practice location 2

113 N Coopers Hawk Ct
Palm Coast, FL 32164-2319
Phone (386) 864-1736

Other practice location 3

4647 Clyde Morris Blvd Suite 501
Port Orange, FL 32129
Phone (386) 767-3752

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

OrganizationSpecialtyStatusNew patients
Florida Autism Center Behavior Analyst Past Accepting new patients
Strategies, Inc. Behavior Analysis & Therapeutic Services Behavior Analyst PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1932698131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N COOPERS HAWK CT",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642319",
            "telephone_number": "386-864-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 CLYDE MORRIS BLVD SUITE 501",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-767-3752",
            "fax_number": "386-767-4319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 Beville Rd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321145747",
            "country_code": "US",
            "telephone_number": "386-267-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 N Coopers Hawk Ct",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642319",
            "country_code": "US",
            "telephone_number": "386-864-1736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4647 Clyde Morris Blvd Suite 501",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "32129",
            "country_code": "US",
            "telephone_number": "386-767-3752",
            "fax_number": "386-767-4319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUDE",
        "first_name": "BRITTANY",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.