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Deactivated NPI 1487921045 Deactivated / Inactive NPI Male Practitioner

Bradley Alexander Wilberg , BCaBA

Behavior Analyst • Cocoa, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bradley Wilberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 28, 2011
NPI Deactivation Date October 02, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Bradley Wilberg, BCaBA was a registered Behavior Analyst practicing in Cocoa, FL. Throughout an active medical career spanning 14 years, Bradley Wilberg provided care at the practice location at 550 SAINT JOHNS STREET until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

550 Saint Johns Street

Cocoa, FL 32922

Telephone 3216399800
Fax 3216396007
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Cocoa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
48 Specialists

Practicing in Cocoa, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License None 0-09-3011

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cathy Worley

Behavior Technician

NPI 1013453224
Lindsey-Kate Mccool

Behavior Analyst

NPI 1104160530
NPI 1134534993
Philip Runfeldt , BCaBA

Behavior Analyst

NPI 1154647915

BCABA

C Lacey , RBT

Behavior Technician

NPI 1154914083

Registered Behavior Technician

Georgiann Steely

Behavior Technician

NPI 1174144588

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

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Updated Practice Location April 06, 2022

Registered at 453 KING ST, COCOA, FL 329227621 (Tel: 3216335511)

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Updated Business Mailing Address April 06, 2022

Registered at 453 KING ST, COCOA, FL 329227621 (Tel: 3216335511)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2022

Behavior Technician (License #RBT-16-17842 in None)

NPI Profile Active November 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2011

Registered at 550 SAINT JOHNS STREET, COCOA, FL 32922 (Tel: 3216399800)

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Updated Business Mailing Address November 28, 2011

Registered at 550 SAINT JOHNS STREET, COCOA, FL 32922 (Tel: 3216399800)

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Provider Name / Credentials Updated November 28, 2011

Recorded as BRADLEY WILBERG, BCABA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2011

Behavior Analyst (License #0-09-3011 in None)

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Initial NPI Registration & Enumeration November 28, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487921045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2011
Last Update: November 28, 2011
Deactivation Date: October 02, 2025

Mailing Address

550 Saint Johns Street

Cocoa, FL 32922

Phone: 3216399800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.