Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Edymar Danielle Glines , BCBA

Behavior Analyst β€’ Boca Raton, FL

Active NPI 1679028773 Individual Practitioner Female Practitioner
Practice location in NPPES

433 Plaza Real Ste 275
Boca Raton, FL 334323999

Call 3056328577 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

433 Plaza Real Ste 275

Boca Raton, FL 334323999

Telephone 3056328577
Fax 7863296452
Organization at the Same NPPES Address or Phone
Five Star Nurse, Llc Facility NPI 1730655952

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Boca Raton and Florida

146 active clinicians are listed under Behavior Analyst with a practice address in Boca Raton, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boca Raton

0% of these 146 clinicians have the CMS telehealth indicator.

0.7% of these 146 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
019419900 (FL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Rollin Cenatus , ARNP

Nurse Practitioner

NPI 1649738113

Advanced Registered Nurse Practitioner

Vicky Paul , FNP-BC

Nurse Practitioner - Family

NPI 1821479817

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ“
Updated Practice Location May 05, 2021

Registered at 433 PLAZA REAL STE 275, BOCA RATON, FL 334323999 (Tel: 3056328577)

πŸ“
Updated Business Mailing Address May 05, 2021

Registered at 3370 BEAU RIVAGE DR APT W6, POMPANO BEACH, FL 330642033 (Tel: 9548259922)

πŸ‘€
Provider Name / Credentials Updated May 05, 2021

Recorded as EDYMAR GLINES, BCBA

βœ…
NPI Profile Active June 06, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address June 06, 2017

Registered at 3480 PINEWALK DR NORTH APT 116, MARGATE, FL 33063 (Tel: 9548259922)

πŸ“
Updated Practice Location June 06, 2017

Registered at 3325 N UNIVERSITY DR, CORAL SPRINGS, FL 330654162 (Tel: 9543446550)

πŸ‘€
Provider Name / Credentials Updated June 06, 2017

Recorded as EDYMAR GLINES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2017

Behavior Analyst

βœ…
NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 10, 2016

Registered at 3325 N UNIVERSITY DR, CORAL SPRINGS, FL 330654162 (Tel: 9543446550)

πŸ“
Business Mailing Address (Initial Record) November 10, 2016

Registered at 3325 N UNIVERSITY DR, CORAL SPRINGS, FL 330654162 (Tel: 9543446550)

πŸ‘€
Provider Name / Credentials (Initial Record) November 10, 2016

Recorded as EDYMAR GLINES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 18, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679028773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2016
Last Update: August 24, 2021
Sole Proprietor: No

Mailing Address

3370 Beau Rivage Dr Apt W6

Pompano Beach, FL 330642033

Phone: 9548259922

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.