Individual provider Active NPI

Brandy Jo McAlister, BCBA

  • Behavior Analyst
  • San Angelo, TX
National Provider Identifier
1245887330
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2920 Issued in TX
Practice address
902 Spaulding St
San Angelo, TX 76903-4971
Phone
(325) 658-7750
Fax
(325) 658-8381
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2920 TX Primary

Addresses

Primary practice location

902 Spaulding St
San Angelo, TX 76903-4971

Mailing address

1501 W Beauregard Ave
San Angelo, TX 76901-4004
Phone (325) 658-7750

Other identifiers 1

IdentifierTypeStateIssuer
2920OtherTXBEHAVIOR ANALYST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ABAIRD@MHMRCV.ORG Direct

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
2920TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Concho Valley Center for Human Advancement PastSince Aug 25, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1245887330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W BEAUREGARD AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014004",
            "telephone_number": "325-658-7750",
            "fax_number": "325-658-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SPAULDING ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034971",
            "telephone_number": "325-658-7750",
            "fax_number": "325-658-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALISTER",
        "first_name": "BRANDY",
        "middle_name": "JO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST LICENSE",
            "identifier": "2920",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ABAIRD@MHMRCV.ORG",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "WORK EMAIL",
            "address_1": "902 Spaulding St",
            "city": "San Angelo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "769034971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

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