Elizabeth Marie Brown, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001535 Issued in VA

Practice address

1138 2ND St SW
Roanoke, VA 24016-4725

Phone

(540) 404-1189

Fax

(540) 904-0096

NPI assigned

Oct 22, 2019

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

Other names 1

• Elizabeth Marie Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1265075303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 2ND ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164725",
            "telephone_number": "540-404-1189",
            "fax_number": "540-904-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 2ND ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164725",
            "telephone_number": "540-404-1189",
            "fax_number": "540-904-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GONZALEZ",
            "middle_name": "MARIE",
            "credential": "BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christy Smith Brown
• Colleen Elizabeth Brown, DO
• Danielle Brown, PHARMD
• Deborah Brown, MSOT, OTR/L
• Demetria Brown
• Gabriel Brown, DDS
• Hannah Brown, MD
• Lauren Alexandra Brown, M.S CCC-SLP
• Lauren Jonna Murphy Brown, M.D.
• Natalie R Brown, MSW

• Behavior Analyst in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.