Provider Demographics
NPI:1932093465
Name:BROOKS, FELICITY (RBT)
Entity type:Individual
Prefix:
First Name:FELICITY
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7617 LIVERPOOL BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-8517
Mailing Address - Country:US
Mailing Address - Phone:407-860-1022
Mailing Address - Fax:
Practice Address - Street 1:7617 LIVERPOOL BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-8517
Practice Address - Country:US
Practice Address - Phone:407-860-1022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-425548106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician