Brooke Tawanna, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA 1-12-11493 Issued in CA

Practice address

17848 Sky Park Cir Ste B
Irvine, CA 92614-6135

Phone

(949) 418-7167

NPI assigned

Nov 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brooke Capilla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Innovate ABA

  • Behavior Analyst
  • Irvine, CA
  • NPI 1346863529
  NPD Authorized official
• Innovate Speech

  • Speech-Language Pathologist
  • Irvine, CA
  • NPI 1467116434
  NPD Authorized official

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1336483056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17848 SKY PARK CIR STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146135",
            "telephone_number": "949-418-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17848 SKY PARK CIR STE B",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146135",
            "telephone_number": "949-418-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWANNA",
        "first_name": "BROOKE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11211493",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "BCBA 1-12-11493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "CAPILLA",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maral Tavafi
• Assal Tavakoli Parsa, PA
• Anita Tavakoli
• Lorelei Tavernier
• Joelle A Tavitian, DDS
• Trinity Tay
• Ashley Taylor, MSED. CCC-SLP
• Carissa Alexandra Taylor
• Elizabeth Carrington Taylor, PPS
• Serenity Taylor

• Behavior Analyst in Irvine, CA
• Providers in Irvine, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.