MOLLY BRUSTAD BCBA, LMSW
NPI 1013492321
Behavior Analyst in Cantonment, FL

Q: What is Molly Brustad's NPI number?

The NPI number for Molly Brustad is 1013492321. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Molly Brustad's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Molly Brustad was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 02, 2018

3771 STEFANI RD, CANTONMENT, FL 32533(850) 607-6910(850) 607-6932 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2022, Jun 18, 2020, Jun 4, 2020 and 2 more (5 updates tracked since 2018).

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About Molly Brustad Bcba, Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY BRUSTAD BCBA, LMSW (NPI 1013492321) is an individual behavior analyst provider in Cantonment, Florida and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1013492321

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameMOLLY BRUSTADCredential: BCBA, LMSW

Location Address3771 STEFANI RDCantonment, FL 32533-7795

Mailing Address2100 Comer AveColumbus, GA 31904-8725

Phone(850) 607-6910

Fax(850) 607-6932

Sole ProprietorNo

Enumeration DateOctober 2, 2018

Last NPPES UpdateAugust 30, 20225 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1013492321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

3771 STEFANI RD, Cantonment, FL 32533

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA VALLIANT RBT

Behavior Technician