NORTH BREVARD MEDICAL SUPPORT, INC


Address: 7075 N Us Highway 1, Cocoa, FL 32927-5216
Phone: 3212686111

NORTH BREVARD MEDICAL SUPPORT, INC (NPI# 1841829280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841829280
Entity Type Organization
Organization Name NORTH BREVARD MEDICAL SUPPORT, INC
Practice Address 7075 N Us Highway 1
Cocoa
FL 32927-5216
Mailing Address 951 N Washington Ave
Titusville
FL 32796-2163
Practice Telephone 3212686111
Practice Fax Number 3212686231
Mailing Telephone 3212686111
Mailing Fax Number 3212686231
Enumeration Date 2020-04-07
Last Update Date 2020-04-07
Authorized Official Name GEORGE MIKITARIAN (PRESIDENT/CEO)
Authorized Official Telephone 3212686111
Authorized Official Credential PRESIDENT/CEO
Is Organization Subpart Y
Parent Organization Name NORTH BREVARD MEDICAL SUPPORT, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
North Brevard Medical Support, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609834886 North Brevard Medical Support, Inc Clinic/Center 250 Harrison St, Titusville, FL 32780 2006-05-03

Office Location

Street Address 7075 N US HIGHWAY 1
City COCOA
State FL
Zip Code 32927-5216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174121131 Elijah Bookhart Behavior Technician 7075 N Us Highway 1, Cocoa, FL 32927-5216 2020-10-13
1417554064 Lauryn Francis Behavior Technician 7075 N Us Highway 1, Cocoa, FL 32927-5216 2020-10-07
1205433901 Bethany Renae Clarke Behavior Technician 7075 N Us Highway 1, Cocoa, FL 32927-5216 2020-10-06
1699240150 Hannah Rae Hudson Behavior Technician 7075 N Us Highway 1, Cocoa, FL 32927-5216 2018-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538565023 Susan Guattery Coleman Dietitian, Registered 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 2014-11-10
1245668086 Betty Lopez Munarriz Contractor 5660 Fay Blvd, Cocoa, FL 32927 2013-10-14
1427499599 Gary Ray Rudolph Pharmacist 7125 Us 1, Cocoa, FL 32927 2013-07-17
1659716165 Tania Melissa Johnson Social Worker 5355 Date Palm St, Cocoa, FL 32927 2013-05-10
1538473137 Irwin Jaraplasan Dentist 5235 Fay Blvd, Cocoa, FL 32927 2010-08-06
1386856110 Tri M Le Pharmacist 6257 U.S. Hwy 1, Cocoa, FL 32927 2007-05-04
1134218357 Rameshwar N Mathur Md Pa Family Medicine 6250 N Us 1, Cocoa, FL 32927 2006-10-12
1922035088 Albino Y Kuon Psychiatry & Neurology 4360 North Us1, Cocoa, FL 32927 2006-06-26
1801855424 Faye Ellen O'rourke Nurse Practitioner 7227 N. Us Hwy. 1, Port St. John, FL 32927 2006-03-22
1063965275 Tiffany Williams-brown Nurse Practitioner 860 Camp Rd, Cocoa, FL 32927 2016-07-25
Find all providers in zip 32927

Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073129839 I'mpossible Behavior Services Behavioral Analyst 5500 N Highway 1, Cocoa, FL 32927-6006 2020-09-17
1356824981 Magdalena A Mcneeley Behavioral Analyst 1370 Mycroft Dr, Cocoa, FL 32926-1825 2018-09-10
1396260030 Shacarra Danielle Pouncey Behavioral Analyst 453 King Street, Cocoa, FL 32922 2017-08-03
1881942167 Vicki Lynn Bauer Behavioral Analyst 6370 Gillette Ave, Cocoa, FL 32927-2226 2012-08-17
1922388362 Angela K Potucek Behavioral Analyst 4020 Hess Ave, Cocoa, FL 32926-6806 2011-08-17
1871816439 Suzanne P. Jasper-demarco Behavioral Analyst 550 Saint Johns St, Cocoa, FL 32922 2010-03-10
1396068292 Mildred M. Chapman Behavioral Analyst 550 Saint Johns Street, Cocoa, FL 32922-7241 2010-03-05
1730749177 Tara Fox-bessey Behavioral Analyst 453 King St, Cocoa, FL 32922-7621 2019-06-18
1760999437 Nicole Heron Behavioral Analyst 7075 N Highway 1, Cocoa, FL 32927-5216 2018-01-04
1871010868 Jose Figueroa Behavioral Analyst 453 King St, Cocoa, FL 32922-7621 2017-08-29
Find all providers in COCOA

Competitor

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City COCOA
Zip Code 32927

Improve Information

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Dataset Information

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.

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