Gina Marie Brunson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

538 Apricot St
Stafford, VA 22554-2555

Phone

(540) 623-4127

NPI assigned

Oct 24, 2018

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)

Not enrolled

Practice roles

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.

• Stafford Early Autism Services

  • Behavior Analyst
  • Stafford, VA
  • NPI 1790209526

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1366919730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FERGUSON DR APT 203",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547153",
            "telephone_number": "404-754-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 APRICOT ST",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542555",
            "telephone_number": "540-623-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justyna Brown
• Pamela Brown, LPC
• Savannah Marie Brown
• Sharon Jacqueline Brown, LCSW
• Rebecca L Brunner, PTA
• Mark E. Bryngelson, D.C.
• Yvonne Bucholtz, RPH
• Cindy Bui
• Nguyen Thai Bui, DDS
• Holley Buie

• Behavior Technician in Stafford, VA
• Providers in Stafford, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.