BRADLEY MIRBON (NPI# 1962024786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962024786 |
| Entity Type | Individual |
| Full Name | BRADLEY MIRBON |
| Practice Address |
3829 Hollywood Blvd Ste D Hollywood FL 33021-6790 |
| Practice Telephone | 9543673600 |
| Mailing Telephone | 9543673600 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104994800 | 05 |
| Street Address |
3829 HOLLYWOOD BLVD STE D |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821240185 | Family Enrichment Behavioral Health Services Inc | Behavioral Analyst | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2008-10-17 |
| 1164044954 | Jazmine Hughes | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2020-05-14 |
| 1629690433 | Loreana Lonigro | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2020-05-14 |
| 1780210104 | William Umlah | Behavioral Analyst | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2020-03-17 |
| 1306338991 | Jennifer Macias | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021 | 2018-05-31 |
| 1306338983 | Denia Abreu Estevez | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2018-05-31 |
| 1659863231 | Martha Robb | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2018-05-31 |
| 1225520737 | Taina Bazelais | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2018-05-31 |
| 1114419637 | Ednande Desrosiers | Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2018-05-31 |
| 1467944983 | Evelyn De La Cruz Martos | Behavior Technician | 3829 Hollywood Blvd Ste D, Hollywood, FL 33021-6790 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071742 | Adriana Delgado Martinez | Behavior Technician | 7280 Stirling Rd Apt 107, Hollywood, FL 33024-1676 | 2020-10-20 |
| 1649889023 | Dayana Sanchez Garcia | Behavior Technician | 5905 Washington St Apt 240, Hollywood, FL 33023-1950 | 2020-07-30 |
| 1124637897 | Ana Gloria Gonzalez Quesada | Behavior Technician | 417 N 26th Ave Apt 1, Hollywood, FL 33020-4325 | 2020-07-28 |
| 1689292617 | Lazaro I Martinez Sr. | Behavior Technician | 800 N 69th Ave, Hollywood, FL 33024-7424 | 2020-07-07 |
| 1518583277 | Aimee Marie Hernandez | Behavior Technician | 6440 Custer St, Hollywood, FL 33024-2024 | 2020-06-18 |
| 1154945186 | Nathalie Seraphin | Behavior Technician | 6520 Fletcher St, Hollywood, FL 33023-2132 | 2020-06-05 |
| 1922622083 | Yaine Perez Hernandez | Behavior Technician | 5930 Garfield St, Hollywood, FL 33021-5155 | 2020-06-04 |
| 1497379978 | Rosany Rodriguez Freire | Behavior Technician | 1954 Coolidge St, Hollywood, FL 33020-2426 | 2020-06-01 |
| 1831712538 | Annia Loyola Garcia | Behavior Technician | 5316 Johnson St, Hollywood, FL 33021-5722 | 2020-05-28 |
| 1386265650 | Olan Marrero Munoz | Behavior Technician | 2501 S Ocean Dr Apt 511, Hollywood, FL 33019-2609 | 2020-04-28 |
| Find all providers in HOLLYWOOD | ||||
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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.