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Koliandra Grayson

Behavior Analyst β€’ Orlando, FL

Active NPI 1689235996 Individual Practitioner Female Practitioner
Practice location in NPPES

1717 S Orange Ave Ste 100
Orlando, FL 328062946

Call 4076507000 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

1717 S Orange Ave Ste 100

Orlando, FL 328062946

Telephone 4076507000
Fax 4075675924
Organization at the Same NPPES Address or Phone
Nemours Children's Health, The Villages, Florida, Primary Care Facility NPI 1043889215

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

NPI first issued

2019

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 Orlando and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Orlando

0% of these 615 clinicians have the CMS telehealth indicator.

0% of these 615 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: 2020-11-11
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
100656200 (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.

7 listed
Brian Gurr , CRNA

Nurse Anesthetist, Certified Registered

NPI 1174936967

Certified Registered Nurse Anesthetist

Dr. Floyd Livingston , MD

Pediatrics - Pediatric Pulmonology

NPI 1164531927

Doctor of Medicine (M.D.)

Erendida Rojas

Nurse Anesthetist, Certified Registered

NPI 1225358468
Erica Shaw , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053672279

Certified Registered Nurse Anesthetist

Dr. Dawn Sokol , MD

Pediatrics - Pediatric Infectious Diseases

NPI 1275579492

Doctor of Medicine (M.D.)

Carlos Villarreal , PA-C

Physician Assistant

NPI 1013445931

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location November 11, 2020

Registered at 1717 S ORANGE AVE STE 100, ORLANDO, FL 328062946 (Tel: 4076507000)

πŸ“
Updated Business Mailing Address November 11, 2020

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974127)

βœ…
NPI Profile Active June 26, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 26, 2019

Registered at 150 W UNIVERSITY BLVD, MELBOURNE, FL 329016982 (Tel: 3216748106)

πŸ“
Business Mailing Address (Initial Record) June 26, 2019

Registered at 150 W UNIVERSITY BLVD, MELBOURNE, FL 329016982 (Tel: 3216748106)

πŸ‘€
Provider Name / Credentials (Initial Record) June 26, 2019

Recorded as KOLIANDRA GRAYSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2019

Behavior Analyst

🟒
Initial NPI Registration & Enumeration June 26, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689235996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2019
Last Update: November 11, 2020
Sole Proprietor: Yes

Mailing Address

10140 Centurion Pkwy N

Jacksonville, FL 322560532

Phone: 9046974127

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.