Active NPI
Victoria Branda, M.S., B.C.B.A
- Behavior Analyst
- Springfield, IL
National Provider Identifier
1275089302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22383
- Practice address
- 15 E Hazel Dell LN
Springfield, IL 62712-4210 - Phone
- (217) 585-5437
- Fax
- (217) 786-3356
- NPI assigned
- Aug 29, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22383 | IL | Primary |
Addresses
Primary practice location
15 E Hazel Dell LN
Springfield, IL 62712-4210
Mailing address
15 E Hazel Dell LN
Springfield, IL 62712-4210
Phone (217) 585-5437
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1275089302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E HAZEL DELL LN",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627124210",
"telephone_number": "217-585-5437",
"fax_number": "217-786-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 E HAZEL DELL LN",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627124210",
"telephone_number": "217-585-5437",
"fax_number": "217-786-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDA",
"first_name": "VICTORIA",
"credential": "M.S., B.C.B.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-29",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "1-16-22383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.