MRS. BROOKE RUTLAND HANSEN (NPI# 1104117704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104117704 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE RUTLAND HANSEN |
| Credential | BCBA |
| Practice Address |
1787 Ne 21st St Fort Lauderdale FL 33305-3240 |
| Practice Telephone | 9546436033 |
| Practice Fax Number | 8552654822 |
| Mailing Telephone | 9546436033 |
| Mailing Fax Number | 8552654822 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-04-2030 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262465 | Brooke Nicole Hansen | Counselor | 107 S Division St, Spokane, WA 99202-1510 | 2018-10-31 |
| 1821504382 | Brooke Hansen | Psychologist | 8700 E 29th St N, Wichita, KS 67226-2169 | 2017-12-20 |
| 1033591805 | Brooke Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2015-06-29 |
| 1477942274 | Brooke Kristine Hansen | Speech-Language Pathologist | 5406 Merle Hay Rd, Johnston, IA 50131-1209 | 2015-01-16 |
| 1912262270 | Brooke Hansen | Registered Nurse | 3944 S 400 E, Salt Lake City, UT 84107-1600 | 2012-07-11 |
| 1467778548 | Brooke Lane Hansen | Obstetrics & Gynecology | 370 E 9th Ave Ste 205, Salt Lake City, UT 84103-3184 | 2010-04-14 |
| Street Address |
1787 NE 21ST ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33305-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
| 1922650159 | Samantha Jones | Chiropractor | 1732 Ne 26th St Ste 201, Wilton Manors, FL 33305 | 2019-07-09 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1548775000 | Inbox Inc. | Counselor | 1650 Ne 26th St., Suite 206, Wilton Manors, FL 33305 | 2017-12-06 |
| 1306394168 | The 5 Elements Spa & Longevity Center | Health Maintenance Organization | 2288 Wilton Drive, Wilton Manors, FL 33305 | 2016-09-21 |
| 1467900449 | Crystal L Cacolici | Acupuncturist | 1732 Ne 26th St Ste 202, Wilton Manors, FL 33305 | 2016-09-19 |
| 1649634809 | Terri-ann Brown Arnp | Nurse Practitioner | 1881 Ne 26th Street, Suite 102, Fort Lauderdale, FL 33305 | 2016-04-13 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1427300789 | Kids In Distress | Foster Care Agency | 819 Ne 26th St., Ft. Laud, FL 33305 | 2012-10-11 |
| Find all providers in zip 33305 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144878901 | Kimberly Ann Nace | Behavioral Analyst | 3031 N Ocean Blvd Apt 1408, Fort Lauderdale, FL 33308-7340 | 2019-08-26 |
| 1750855839 | Katherine Petrusa | Behavioral Analyst | 6315 Bay Club Dr Apt 3, Fort Lauderdale, FL 33308-1626 | 2019-01-11 |
| 1699285122 | Esther Michelle Hoch | Behavioral Analyst | 4912 Sw 31st Ter, Fort Lauderdale, FL 33312-6905 | 2017-10-11 |
| 1043734676 | Jordan Martinez | Behavioral Analyst | 411 Nw 1st Ave Apt 205, Fort Lauderdale, FL 33301-3382 | 2017-07-26 |
| 1811421324 | Matthew E. Britton | Behavioral Analyst | 548 Sw 14th Ave, Fort Lauderdale, FL 33312-2431 | 2017-04-12 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1063952703 | Jumpstart Interventions LLC | Behavioral Analyst | 444 Nw 1st Ave, Suite 403, Fort Lauderdale, FL 33301-8203 | 2017-02-28 |
| 1326403098 | Katherine Ilene Fenech | Behavioral Analyst | 2400 Ne 65th St, Apt 625, Fort Lauderdale, FL 33308-1578 | 2015-12-23 |
| 1639548092 | Lauren Zakaib | Behavioral Analyst | 1640 E Sunrise Blvd Apt 2213, Fort Lauderdale, FL 33304-2383 | 2015-09-16 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.