Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Angela K Potucek

Assistant Behavior Analyst β€’ Rockledge, FL

Active NPI 1922388362 Individual Practitioner Female Practitioner
Practice location in NPPES

5830 Us Highway 1
Rockledge, FL 329555761

Call 2160990073 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

5830 Us Highway 1

Rockledge, FL 329555761

Telephone 2160990073
Organization at the Same NPPES Address or Phone
Puzzle Box Academy Llc Facility NPI 1467033126

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 2 distinct additional practice-address records in Melbourne, FL; Palm Bay, 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

2011

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 Rockledge and Florida

3 active clinicians are listed under Assistant Behavior Analyst with a practice address in Rockledge, FL (2,309 in Florida).

Addresses are self-reported to NPPES and may be out of date.

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: 2025-09-02
Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

License # reported to NPPES FL 0-05-1917

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct 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

Secondary Practice Locations

2180 Julian Ave Ne

Palm Bay, FL 329054020

Phone: 3213450861

125 E Nasa Blvd

Melbourne, FL 329011900

Phone: 3213454232

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location September 02, 2025

Registered at 5830 US HIGHWAY 1, ROCKLEDGE, FL 329555761 (Tel: 2160990073)

πŸ“
Updated Business Mailing Address September 02, 2025

Registered at 125 E NASA BLVD, MELBOURNE, FL 329011900 (Tel: 3213454232)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2025

Assistant Behavior Analyst (license number reported to NPPES: FL 0-05-1917)

βœ…
NPI Profile Active August 17, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 17, 2011

Registered at 4020 HESS AVE, COCOA, FL 329266806 (Tel: 3212130145)

πŸ“
Business Mailing Address (Initial Record) August 17, 2011

Registered at 4020 HESS AVE, COCOA, FL 329266806 (Tel: 3212130145)

πŸ‘€
Provider Name / Credentials (Initial Record) August 17, 2011

Recorded as ANGELA POTUCEK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2011

Behavior Analyst

🟒
Initial NPI Registration & Enumeration August 17, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1922388362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2011
Last Update: September 02, 2025
Sole Proprietor: Yes

Mailing Address

125 E Nasa Blvd

Melbourne, FL 329011900

Phone: 3213454232

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.