Danielle Brassard, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49347 Issued in IN

Practice address

239 E Winslow Rd
Bloomington, IN 47401-8638

Phone

(812) 287-8561

NPI assigned

Sep 14, 2018

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1336622315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 E WINSLOW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 E WINSLOW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018638",
            "telephone_number": "812-287-8561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 N Canterbury Ct",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474041500",
            "country_code": "US",
            "telephone_number": "812-650-3032",
            "fax_number": "317-663-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASSARD",
        "first_name": "DANIELLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-21-49347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Branham, R.PH.
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• Amanda Jane Brashear, PMHNP
• Mark Braun, M.D.
• Erika Bravo, RBT
• Kayla Lynn Brawner
• Ronda Rene Bray, APRN
• Margaret Tomoko Brennan

• Behavior Analyst in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.