Individual provider Active NPI

Brynna Catherine Wictum Ledford, M.ED.

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1033587696
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-16-21661 Issued in CA
Practice address
1054 S de Anza Blvd # 105
San Jose, CA 95129-3553
Phone
(408) 673-1927
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-16-21661 CA Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

1054 S de Anza Blvd # 105
San Jose, CA 95129-3553

Mailing address

1054 S de Anza Blvd # 105
San Jose, CA 95129-3553
Phone (408) 673-1927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Joyscape Therapy LLC Behavior Analyst CurrentSince Dec 1, 2019 Accepting new patients
Firststeps for Kids Past Accepting new patients
First Steps for Kids, Inc. Past Accepting new patients

Locations

1054 S De Anza Blvd
#105
San Jose, CA 95129
Phone (408) 320-5139

3141 Stevens Creek Blvd
San Jose, CA 95117
Phone (408) 617-5191

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1033587696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 S DE ANZA BLVD # 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293553",
            "telephone_number": "408-673-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 S DE ANZA BLVD # 105",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293553",
            "telephone_number": "408-673-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "BRYNNA",
        "middle_name": "CATHERINE WICTUM",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-16-21661",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.