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Jennifer Bruen , BCBA

Behavior Analyst β€’ Wellington, FL

Active NPI 1770079873 Individual Practitioner Female Practitioner
Practice location in NPPES

166 Professional Way
Wellington, FL 334146391

Call 5615701566 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

166 Professional Way

Wellington, FL 334146391

Telephone 5615701566
Organization at the Same NPPES Address or Phone
Florida Autism Center Facility NPI 1306317474

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 1 additional practice-address record in Odessa, 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 Wellington and Florida

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wellington

0% of these 24 clinicians have the CMS telehealth indicator.

0% of these 24 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: 2025-05-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-17-28598

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
1770079873 (FL)

Secondary Practice Locations

16414 Lake Church Dr

Odessa, FL 335562637

Phone: 8139265454

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Business Mailing Address May 07, 2025

Registered at 8029 KINGSWOOD WAY, MELBOURNE, FL 329402144 (Tel: 3212985055)

πŸ‘€
Provider Name / Credentials Updated May 07, 2025

Recorded as JENNIFER BRUEN, BCBA

πŸ“
Updated Practice Location May 28, 2021

Registered at 166 PROFESSIONAL WAY, WELLINGTON, FL 334146391 (Tel: 5615701566)

πŸ“
Updated Business Mailing Address May 28, 2021

Registered at 10797 SADDLEBROOK LN, WELLINGTON, FL 334149305 (Tel: 3212985055)

βœ…
NPI Profile Active July 02, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 02, 2018

Registered at 16414 LAKE CHURCH DR, ODESSA, FL 335562637 (Tel: 8139265454)

πŸ“
Business Mailing Address (Initial Record) July 02, 2018

Registered at 15210 AMBERLY DR APT 1925, TAMPA, FL 336472194 (Tel: 3212985055)

πŸ‘€
Provider Name / Credentials (Initial Record) July 02, 2018

Recorded as JENNIFER MCPEAK, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Behavior Analyst (license number reported to NPPES: FL 1-17-28598)

🟒
Initial NPI Registration & Enumeration July 02, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770079873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2018
Last Update: May 07, 2025
Sole Proprietor: Yes

Mailing Address

8029 Kingswood Way

Melbourne, FL 329402144

Phone: 3212985055

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.