Brandon Greenstreet, M.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

724 27TH Ave Ste 2
Fairbanks, AK 99701-7042

Phone

(907) 374-2905

Fax

(907) 374-2915

NPI assigned

Aug 21, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tundra Greenstreet Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1104293489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 27TH AVE STE 2",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017042",
            "telephone_number": "907-374-2905",
            "fax_number": "907-374-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 27TH AVE STE 2",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017042",
            "telephone_number": "907-374-2905",
            "fax_number": "907-374-2915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 Ruby Ave",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974042033",
            "country_code": "US",
            "telephone_number": "541-461-3075 x100",
            "fax_number": "541-461-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENSTREET",
        "first_name": "BRANDON",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUNDRA",
            "last_name": "GREENSTREET",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Green, LCSW
• Everett Truman Green
• Kara Green
• Linda Green, SLPA
• Alisha Greenberg, LMT
• Aurora Dawn Gregg
• Racia Greife
• Lindsey Grennan, M.ED
• James Griffin
• Nancy Griffith, LMT

• Behavior Analyst in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Behavior Analyst in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.