Active NPI
Melissa Kate Brinn, M.S., BCBA
- Behavior Analyst
- Moyock, NC
National Provider Identifier
1306197868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133000744
- Practice address
- 1308 Tulls Creek Rd
Moyock, NC 27958-9384 - Phone
- (757) 515-7985
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 0133000744 | VA | Primary |
Addresses
Primary practice location
1308 Tulls Creek Rd
Moyock, NC 27958-9384
Mailing address
1308 Tulls Creek Rd
Moyock, NC 27958-9384
Phone (757) 515-7985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13808534 | Other | VA | CAQH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133000744 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1306197868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 TULLS CREEK RD",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279589384",
"telephone_number": "757-515-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 TULLS CREEK RD",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279589384",
"telephone_number": "757-515-7985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINN",
"first_name": "MELISSA",
"middle_name": "KATE",
"name_prefix": "Mrs.",
"credential": "M.S., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133000744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13808534",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moyock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.