Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235995986 Deactivated / Inactive NPI Female Practitioner

Bridget Michelle Boylan , RBT

Behavior Analyst • Debary, 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, Bridget Boylan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2024
NPI Deactivation Date February 21, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Bridget Boylan, RBT was a registered Behavior Analyst practicing in Debary, FL. Throughout an active medical career spanning 1 years, Bridget Boylan provided care at the practice location at 454 FORT FLORIDA RD until profile deactivation on 2024-02-21.

Practice Location & Contact Primary Location

Practice Address

454 Fort Florida Rd

Debary, FL 327139714

Telephone 3869682012
Associated Practice Facility / Clinic
🏢 Ramon Hernandez Facility NPI 1497467096

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Debary, FL

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

Practicing in Debary, 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

CMS Verified: 2024-02-21
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL BACB1054829

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

10 Associated Practitioners
Kathleen Nichols , RBT

Behavior Technician

NPI 1073231445

Registered Behavior Technician

Krista Denoff , RBT

Behavior Technician

NPI 1104460906

Registered Behavior Technician

Isabella Barbagallo

Behavior Technician

NPI 1124884697
Veronica Souba , RBT

Behavior Technician

NPI 1245822766

Registered Behavior Technician

Melissa Janello

Behavior Technician

NPI 1326659590
Katherine Hnatkiewicz

Behavior Technician

NPI 1497409817

Career & Practice History Timeline

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

6 Historical Events
📍
Updated Practice Location March 20, 2024

Registered at 454 FORT FLORIDA RD, DEBARY, FL 327139714 (Tel: 3869682012)

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Updated Business Mailing Address March 20, 2024

Registered at 1759 POINCIANA CIR, TITUSVILLE, FL 327961124 (Tel: 3213497176)

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Provider Name / Credentials Updated March 20, 2024

Recorded as BRIDGET BOYLAN, RBT

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2024

Behavior Analyst (License #BACB1054829 in FL)

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NPI Profile Deactivated February 21, 2024

Record deactivated on February 21, 2024

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Initial NPI Registration & Enumeration February 21, 2024

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: 1235995986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2024
Last Update: March 20, 2024
Deactivation Date: February 21, 2024
Sole Proprietor: No

Mailing Address

1759 Poinciana Cir

Titusville, FL 327961124

Phone: 3213497176

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.