Active NPI
Camira Reshea' Bryant, BCBA, LBA
- Behavior Analyst
- Manchester, NH
National Provider Identifier
1194204164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001894
- Practice address
- 373 S Willow St Ste 206
Manchester, NH 03103-5751 - Phone
- (877) 315-8080
- NPI assigned
- Aug 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA1004 | MD | |
| Behavior Analyst | 103K00000X | 0133001894 | VA | Primary |
Addresses
Primary practice location
373 S Willow St Ste 206
Manchester, NH 03103-5751
Mailing address
373 S Willow St Ste 206
Manchester, NH 03103-5751
Phone (877) 315-8080
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
| License | State | Type | Specialty |
|---|---|---|---|
| LBA1004 | MD | MD | Behavioral Analyst |
| 0133001894 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1194204164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 S WILLOW ST STE 206",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035751",
"telephone_number": "877-315-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "373 S WILLOW ST STE 206",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031035751",
"telephone_number": "877-315-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "CAMIRA",
"middle_name": "RESHEA'",
"name_prefix": "Mrs.",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "LBA1004",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.