Brandaizha Necole Dunn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1113 Prewett Ranch Dr
Antioch, CA 94531-8095

Phone

(707) 373-6526

NPI assigned

Aug 26, 2019

Last updated

Aug 26, 2019By 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1326695172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 PREWETT RANCH DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318095",
            "telephone_number": "707-373-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 PREWETT RANCH DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318095",
            "telephone_number": "707-373-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "BRANDAIZHA",
        "middle_name": "NECOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1604211932",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER",
            "identifier": "1604211932",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brandaizha.dunn@gmail.com",
            "affiliation": "N",
            "address_1": "1113 Prewett Ranch Dr",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945318095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine E Duffy-Sherr
• Gail Dugger
• Madison Dumas
• Acee Dunbar
• Lisa Rene Duncan, BUSINESS OWNER
• Kenneth Reid Dupree, D. M. D.
• Nyccol Dupree
• Alyssa Durjava
• Ernest Chimeziem Durunna Jr.
• East Bay Health Care Support Services, Inc.

• Behavior Technician in Antioch, CA
• Providers in Antioch, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.