Individual provider Active NPI

Lindsey Breland, BCBA

  • Behavior Analyst
  • Mobile, AL
National Provider Identifier
1114495330
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2020-25 Issued in AL
Practice address
7125 Hitt Rd
Mobile, AL 36695-4431
Phone
(251) 422-1827
NPI assigned
Nov 6, 2018
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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 2020-25 AL Primary
Behavior Technician 106S00000X RBT-18-53114 AL

Addresses

Primary practice location

7125 Hitt Rd
Mobile, AL 36695-4431

Mailing address

7125 Hitt Rd
Mobile, AL 36695-4431
Phone (251) 422-1827

Other practice location 1

5459 Able Ct
Mobile, AL 36693-3100
Phone (251) 649-4420

Other identifiers 2

IdentifierTypeStateIssuer
84286940OtherALBCBS, TRICARE, BEACON, ALL KIDS
RBT-18-53114OtherREGISTERED BEHAVIOR TECHNICIAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL coreprojectmobile@gmail.com

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

State licenses

LicenseStateTypeSpecialty
2020-25ALMDBehavioral Analyst
RBT-18-53114ALMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1114495330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 HITT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954431",
            "telephone_number": "251-422-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 HITT RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954431",
            "telephone_number": "251-422-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5459 Able Ct",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366933100",
            "country_code": "US",
            "telephone_number": "251-649-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRELAND",
        "first_name": "LINDSEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "2020-25",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-18-53114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, TRICARE, BEACON, ALL KIDS",
            "identifier": "84286940",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-18-53114",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "coreprojectmobile@gmail.com",
            "affiliation": "N",
            "address_1": "7125 Hitt Rd",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366954431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.