Elizabeth Brady, MED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000901 Issued in VA

Practice address

11905 Bowman Dr Ste 507
Fredericksburg, VA 22408-7344

Phone

(540) 395-9962

Fax

(703) 852-3029

NPI assigned

Mar 7, 2014

Last updated

Oct 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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

• Empower Behavioral Services, LLC

  • Behavior Analyst
  • Locust Grove, VA
  • NPI 1346785201
  NPD (past) Authorized official

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1104242627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MONUMENT RD",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225085156",
            "telephone_number": "339-223-7371",
            "fax_number": "703-852-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 BOWMAN DR STE 507",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087344",
            "telephone_number": "540-395-9962",
            "fax_number": "703-852-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ELIZABETH",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-13-14294",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamaya S Bradley, M.S.W.
• Brenda A. Bradshaw, M.D.
• Keri Amanda Bradshaw, NP-C
• Tarnisha Diane Bradshaw, DSP, PCA
• Sunshine Cathleen Brady-Thomas, DPM
• Rachel Brady, M.D.
• Margo C Bragg, PA-C
• Anders Brandt, P.T.
• Philip Brandt
• Roy James Branklin, LPC

• Behavior Analyst in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.