Alessa Marie Brennan, B.C.B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-11-8004 Issued in KY

Practice address

3551 Park Plaza Rd
Paducah, KY 42001

Phone

(270) 702-4641

NPI assigned

Dec 19, 2011

Last updated

Sep 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Living in Kentucky, LLC

  • Community/Behavioral Health Agency
  • Murray, KY
  • NPI 1518281419

  Behavior Analyst

  NPD (past)
• Gateway Counseling Services

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1508278458
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1205105368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MURFREESBORO PIKE STE 702",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372172679",
            "telephone_number": "615-695-2277",
            "fax_number": "270-777-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 PARK PLAZA RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42001",
            "telephone_number": "270-702-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 W Professional Park Ct",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043250",
            "country_code": "US",
            "telephone_number": "270-843-5300",
            "fax_number": "270-843-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ALESSA",
        "middle_name": "MARIE",
        "credential": "B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "1-11-8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Wayne Brantley, DMD
• Jonathan Brett Brasher, RPH
• Patricia Bratton, LCSW
• Deborah Lynn Bray, APRN
• John W Brazzell, MD
• Natalie Beth Brenningmeyer, ARNP
• Wendy G Brenningmeyer, CRNA
• Bret a. Avra, DMD, PSC.
• Ashlee Nicole Brewer, APRN
• Donald Scott Bridges, D.M.D.

• Behavior Analyst in Paducah, KY
• Providers in Paducah, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.