BRAYSEN SCOTT TANDY (NPI# 1477177905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477177905 |
| Entity Type | Individual |
| Full Name | BRAYSEN SCOTT TANDY |
| Credential | RBT |
| Practice Address |
3900 Colonial Blvd Fort Myers FL 33966-1014 |
| Mailing Address |
619 Sw 6th St Cape Coral FL 33991-2482 |
| Practice Telephone | 2393513715 |
| Mailing Telephone | 2399940029 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | RBT-20-120074 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 20-120074 | 05 |
| Street Address |
3900 COLONIAL BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33966-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811516107 | Samantha Verdelotti | Behavior Technician | 3900 Colonial Blvd, Fort Myers, FL 33966-1014 | 2020-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
| 1932646171 | Jose M Butron | Behavioral Analyst | 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 | 2017-01-26 |
| 1003276833 | Katia Jasmin Robinson Lucero | Social Worker | 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 | 2016-03-07 |
| 1578947610 | Christian Milanes | Dentist | 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 | 2015-07-18 |
| 1003166273 | Reetane Singh | Dentist | 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 | 2012-09-14 |
| 1518216159 | Lee Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 10140 Deer Run Farms Road, Fort Myers, FL 33966 | 2012-08-29 |
| 1033482724 | Planned Parenthood of Southwest and Central Florida Inc. | Obstetrics & Gynecology | 6418 Commerce Park Drive, Fort Myers, FL 33966 | 2012-02-11 |
| 1013292291 | J Kru Therapy LLC Dba Focus | Physical Therapist | 4997 Royal Gulf Cir, Fort Myers, FL 33966 | 2011-10-19 |
| 1528354651 | American In-home Care, LLC | Home Health | 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 | 2011-06-27 |
| 1811219256 | Vera Marie Rosado-odom | Internal Medicine | 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 | 2010-02-26 |
| Find all providers in zip 33966 | ||||
| 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 |
|---|---|---|---|---|
| 1811503998 | Yudelkis Delgado | Behavior Technician | 17404 Barbara Dr, Fort Myers, FL 33967-2705 | 2020-09-23 |
| 1831704675 | Gleyty Izquierdo Ramirez | Behavior Technician | 18596 Geranium Rd, Fort Myers, FL 33967-3323 | 2020-09-09 |
| 1447868096 | Liemny Gonzalez Lago | Behavior Technician | 2735 Orange St, Fort Myers, FL 33916-2620 | 2020-07-20 |
| 1902422892 | Judith Fernandez | Behavior Technician | 2977 Magnolia St, Fort Myers, FL 33901-6012 | 2020-06-17 |
| 1811516107 | Samantha Verdelotti | Behavior Technician | 3900 Colonial Blvd, Fort Myers, FL 33966-1014 | 2020-04-16 |
| 1770113664 | Anayancy Rodriguez Delgado | Behavior Technician | 17564 Phlox Dr, Fort Myers, FL 33967-2820 | 2020-01-21 |
| 1558922716 | Maryse Fortune | Behavior Technician | 9005 Colby Dr Apt 1920, Fort Myers, FL 33919-5289 | 2019-06-27 |
| 1487218947 | Victoria M Dunn | Behavior Technician | 3900 Colonial Blvd Ste 1, Fort Myers, FL 33966-1014 | 2019-04-30 |
| 1386116903 | Darly Marchena Garzon | Behavior Technician | 6430 Plantation Park Ct, Fort Myers, FL 33966-4814 | 2018-12-20 |
| 1386113694 | Daniela Martinez Sariol | Behavior Technician | 5245 Ramsey Way Ste 5, Fort Myers, FL 33907-2124 | 2018-11-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33966 |
Please comment or provide details below to improve the information on BRAYSEN SCOTT TANDY.
| 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.