Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Chenelle Grant

Behavior Analyst β€’ Palm Bay, FL

Active NPI 1649757956 Individual Practitioner Female Practitioner
Practice location in NPPES

4670 Lipscomb St Ne Ste 10
Palm Bay, FL 329052927

Call 8139066203 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

4670 Lipscomb St Ne Ste 10

Palm Bay, FL 329052927

Telephone 8139066203
Organization at the Same NPPES Address or Phone
Building Blocks Applied Behavioral Services Inc Facility NPI 1558015388

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

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Deerfield Beach, FL; Lakeland, FL; Lithia, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

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 Palm Bay and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Palm Bay

0% of these 37 clinicians have the CMS telehealth indicator.

0% of these 37 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: 2023-06-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-21-51835

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.

Behavior Analyst

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
104507400 (FL)

Secondary Practice Locations

500 Fairway Dr Ste 102

Deerfield Beach, FL 334411817

Phone: 8888809270

145 E Edgewood Dr

Lakeland, FL 338034014

Phone: 8636192809

5454 Lithia Pinecrest Rd

Lithia, FL 335472853

Phone: 8134679280

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location December 28, 2022

Registered at 4670 LIPSCOMB ST NE STE 10, PALM BAY, FL 329052927 (Tel: 8139066203)

πŸ“
Updated Business Mailing Address December 28, 2022

Registered at 4670 LIPSCOMB ST NE STE 10, PALM BAY, FL 329052927 (Tel: 8139066203)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2022

Behavior Analyst

πŸ“
Updated Practice Location December 10, 2019

Registered at 145 E EDGEWOOD DR, LAKELAND, FL 338034014 (Tel: 8636192809)

πŸ“
Updated Business Mailing Address December 10, 2019

Registered at 145 E EDGEWOOD DR, LAKELAND, FL 338034014

πŸ“
Updated Practice Location October 03, 2019

Registered at 5454 LITHIA PINECREST RD, LITHIA, FL 335472853 (Tel: 8134679280)

πŸ“
Updated Business Mailing Address October 03, 2019

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028

βœ…
NPI Profile Active July 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 19, 2018

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8888809270)

πŸ“
Business Mailing Address (Initial Record) July 19, 2018

Registered at 13020 PRESTWICK DR, RIVERVIEW, FL 335797046 (Tel: 3218218840)

πŸ‘€
Provider Name / Credentials (Initial Record) July 19, 2018

Recorded as CHENELLE GRANT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2018

Behavior Technician

🟒
Initial NPI Registration & Enumeration July 19, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1649757956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2018
Last Update: June 28, 2023
Sole Proprietor: No

Mailing Address

4670 Lipscomb St Ne Ste 10

Palm Bay, FL 329052927

Phone: 8139066203

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.