Carolyn K Broner, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-36380

Practice address

2930 Horizon Park Dr Ste D
Suwanee, GA 30024-7252

Phone

(770) 462-8550

Fax

(470) 322-4355

NPI assigned

Jun 29, 2019

Last updated

Jan 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Applied Behavioral Approaches

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1013669845
  NPD Authorized official
• Applied Behavioral Approaches

  • Behavior Analyst
  • Suwanee, GA
  • NPI 1336914845
  NPD Authorized official

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1326600446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 MEADOW PEAK PT",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974366",
            "telephone_number": "313-320-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 HORIZON PARK DR STE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247252",
            "telephone_number": "770-462-8550",
            "fax_number": "470-322-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONER",
        "first_name": "CAROLYN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-29",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-36380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breathe Beauty la
• Dale Robert Brewer
• Sara Ann Brewer, PA
• Lauren Gigi Brewington, M.D., M.S.
• Corrie Brewton
• Charistma Brown, RBT
• Denise Allen Brown, D.M.D.
• Glenda B Brown, OD
• Kenneth Brown II
• Kevin Desean Brown, M.D.

• Behavior Analyst in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.