Jesse Bravo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5018 Arroyo Chamisa Rd NE
Albuquerque, NM 87111-3720

Phone

(505) 489-3621

NPI assigned

Jun 28, 2019

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jesse Bravo-Spiegel Former name

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": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1104488279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 ARROYO CHAMISA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113720",
            "telephone_number": "505-489-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 ARROYO CHAMISA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113720",
            "telephone_number": "505-489-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Americas Pkwy NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871108172",
            "country_code": "US",
            "telephone_number": "866-273-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "BRAVO-SPIEGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kami Bratzel
• Darren Braude, MD
• Elizabeth F. Braught, MS, CCC-SLP
• Renee Diane Braught
• Maria Yellow Horse Brave Heart, PHD, LCSW
• Kenneth Ellis Bray, DMD
• Lillian Madison Bray
• Misty Lynn Bray, MSSA
• Clint Brayfield
• Amanda Brazier

• Behavior Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.