Brooke Vidal

Behavior Technician · Cocoa, FL

Individual Active NPI

NPI number 1275314890

Practice location

453 King St
Cocoa, FL 32922-7621
Phone
(321) 633-5511

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NPI record

NPI
1275314890
Entity type
Individual (Type 1)
Enumeration date
October 10, 2023
Last updated
October 14, 2023
Certified
October 14, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X 23-303137 —
Behavior Analyst 103K00000X 23-303137 —

Mailing address

6830 Song Dr
Cocoa, FL 32927-3987

About Brooke Vidal

Brooke Vidal is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 453 King St, Cocoa, FL 32922-7621. The NPI number 1275314890 was assigned on October 10, 2023 and the record was last updated on October 14, 2023.

Brooke Vidal lists 2 licenses in the registry: #23-303137 for Behavior Technician; #23-303137 for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brooke Vidal?

The NPI number is 1275314890.

What is the phone number of Brooke Vidal?

The phone number listed for the practice location is (321) 633-5511.

Where is Brooke Vidal located?

453 King St, Cocoa, FL 32922-7621.

What is the taxonomy code for Brooke Vidal?

The primary taxonomy code is 106S00000X – Behavior Technician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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