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Kerrie Alyse-Reza Tracey

Behavior Analyst β€’ Valrico, FL

Active NPI 1306309588 Individual Practitioner Female Practitioner
Practice location in NPPES

1590 Bloomingdale Ave
Valrico, FL 335966101

Call 7035969332 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

1590 Bloomingdale Ave

Valrico, FL 335966101

Telephone 7035969332
Organization at the Same NPPES Address or Phone
Treasured Hearts Aba Therapy Llc Facility NPI 1992681878

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 Valrico and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Valrico

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 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: 2025-08-13
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

Career & Practice History Timeline

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

17 Historical Events
πŸ“
Updated Practice Location August 13, 2025

Registered at 1590 BLOOMINGDALE AVE, VALRICO, FL 335966101 (Tel: 7035969332)

πŸ“
Updated Business Mailing Address August 13, 2025

Registered at 18025 GRAND PROSPERITY DR, VENICE, FL 342934966

πŸ‘€
Provider Name / Credentials Updated August 13, 2025

Recorded as KERRIE TRACEY

πŸ“
Updated Practice Location August 15, 2024

Registered at 10004 N DALE MABRY HWY STE 102, TAMPA, FL 336184421 (Tel: 4077537932)

πŸ“
Updated Business Mailing Address August 15, 2024

Registered at 350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 334411834

πŸ“
Updated Business Mailing Address April 09, 2024

Registered at 10004 N DALE MABRY HWY STE 102, TAMPA, FL 336184421

πŸ“
Updated Practice Location February 07, 2024

Registered at 8390 CHAMPIONS GATE BLVD STE 110, CHAMPIONS GATE, FL 338968311 (Tel: 4077537932)

πŸ“
Updated Business Mailing Address February 07, 2024

Registered at 8390 CHAMPIONS GATE BLVD STE 110, CHAMPIONS GATE, FL 338968311

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2024

Behavior Analyst

πŸ“
Updated Practice Location July 19, 2019

Registered at 10926 S TRYON ST STE E, CHARLOTTE, NC 282734154 (Tel: 8552015498)

πŸ“
Updated Business Mailing Address July 19, 2019

Registered at 10926 S TRYON ST STE E, CHARLOTTE, NC 282734154 (Tel: 8552015498)

βœ…
NPI Profile Active April 13, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 13, 2019

Registered at 37 MARKET ST SW, CONCORD, NC 280255007 (Tel: 8552015498)

πŸ“
Business Mailing Address (Initial Record) April 13, 2019

Registered at 37 MARKET ST SW, CONCORD, NC 280255007 (Tel: 8552015498)

πŸ‘€
Provider Name / Credentials (Initial Record) April 13, 2019

Recorded as KERRIE REZA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration April 13, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306309588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2019
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

18025 Grand Prosperity Dr

Venice, FL 342934966

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.