Kelly Dayana Briceno

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2243 North Blvd W
Davenport, FL 33837-8990

Phone

(863) 270-1339

NPI assigned

May 29, 2025

Last updated

May 29, 2025By 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

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1952294159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 SANDY CREEK LN # 2511",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338371491",
            "telephone_number": "786-856-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-270-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICENO",
        "first_name": "KELLY",
        "middle_name": "DAYANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Bowe, RN
• Alexander Jose Bracho Gonzales
• Patricia Noe Bradfield, ARNP
• Claudia Elena Bravo Espinosa
• Melinda Susan Brecht, LMHC
• Jamal Deante Brooks
• Amanda Kay Bross
• Briana Brown, FNP
• Keraye Brown, APRN
• Nicholas Thomas Brudnak III, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.