Individual provider Active NPI

Brandi Ward

  • Behavior Technician
  • Virginia Beach, VA
National Provider Identifier
1275245672
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB812065 Issued in VA
Practice address
293 Independence Blvd Ste 400
Virginia Beach, VA 23462-5461
Phone
(757) 779-3658
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB812065 VA Primary

Addresses

Primary practice location

293 Independence Blvd Ste 400
Virginia Beach, VA 23462-5461

Mailing address

293 Independence Blvd Ste 400
Virginia Beach, VA 23462-5461

Other identifiers 1

IdentifierTypeStateIssuer
1396351193MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VirginiaBeach-Behavioral@maxhealth.com 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
BACB812065VAMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: virginiabeach-behavioral@maxhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1275245672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 INDEPENDENCE BLVD STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 INDEPENDENCE BLVD STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625461",
            "telephone_number": "757-779-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "BACB812065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396351193",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VirginiaBeach-Behavioral@maxhealth.com",
            "affiliation": "N",
            "endpointDescription": "Maxim Healthcare office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "293 Independence Blvd Ste 400",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234625461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.