Braulio Longoria

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

14785 Preston Rd Ste 550
Dallas, TX 75254-7899

Phone

(303) 989-8169

Fax

(303) 984-4366

NPI assigned

Mar 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1104385509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286514",
            "telephone_number": "303-989-8169",
            "fax_number": "303-984-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 PRESTON RD STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547899",
            "telephone_number": "303-989-8169",
            "fax_number": "303-984-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "BRAULIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwole Longe, M.D.
• Cameron Tyler Longfellow
• Longhorn Pharmacy
• Nicholas Longnecker
• Jordan Elizabeth Longo
• Janel Roxane Longoria, LPC
• Jennifer Byrnes Longoria, PA-C
• Kevin M Longshaw, MD
• Lonnie G. Adian & Associates, LLP
• Christine Loo, MD

• Behavior Technician in Dallas, TX
• Providers in Dallas, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.