Individual provider Active NPI

Brynne Artim, MA BCBA COBA

  • Behavior Analyst
  • Columbus, OH
National Provider Identifier
1043661085
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-17873 Issued in OH
Practice address
125 Dillmont Dr
Columbus, OH 43235-4658
Phone
(614) 844-5433
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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 1-14-17873 OH Primary
Behavior Analyst 103K00000X 144 OH

Addresses

Primary practice location

125 Dillmont Dr
Columbus, OH 43235-4658

Mailing address

125 Dillmont Dr
Columbus, OH 43235-4658
Phone (614) 844-5433

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 Arts

State licenses

LicenseStateTypeSpecialty
144OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kiddos ABA Therapy, LLC Behavior Analyst Past Accepting new patients
Kiddos ABA Therapy, LLC Past Accepting new patients

Organizations & group practices 2

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1043661085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DILLMONT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354658",
            "telephone_number": "614-844-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DILLMONT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354658",
            "telephone_number": "614-844-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIM",
        "first_name": "BRYNNE",
        "credential": "MA BCBA COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-14-17873",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.