NPIMap

Organization Active NPI

Brave Behavior LLC

  • Behavior Analyst
  • El Campo, TX
National Provider Identifier
1154046167
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BRAVE BEHAVIOR LLC
Practice address
912 South St
El Campo, TX 77437-3810
Phone
(979) 257-6129
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Shavonne ShorterNPI 1467107276
Title
Ceo
Phone
(979) 257-6129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

912 South St
El Campo, TX 77437-3810

Mailing address

912 South St
El Campo, TX 77437-3810
Phone (979) 257-6129

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1154046167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SOUTH ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774373810",
            "telephone_number": "979-257-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SOUTH ST",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774373810",
            "telephone_number": "979-257-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE BEHAVIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "SHORTER",
        "authorized_official_first_name": "SHAVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-257-6129"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Campo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.