Brandi J Duke, BCBA, PHD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

00002669 Issued in TX

Practice address

255 Meadow Glade Dr
San Antonio, TX 78227-1005

Phone

(210) 528-0699

NPI assigned

Sep 13, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Behavioral Health Fundamentals PLLC

  • Behavior Analyst
  • San Antonio, TX
  • NPI 1285300236
  NPD Authorized official

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1366925513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MEADOW GLADE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782271005",
            "telephone_number": "210-528-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MEADOW GLADE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782271005",
            "telephone_number": "210-528-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "BRANDI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "BCBA, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "2669",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "00002669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPT OF LICENSING AND REGISTRATION (TDLR)",
            "identifier": "00002669",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kay Dugosh, COTA
• Scott Duhaime, PA-C
• Taylor Duhart, RBT
• Cora Ann Duhon
• Heidi Kathleen Duke-Moody, RN
• Elizabeth Renae Duke
• Jana Danniese Duke, PHARMD
• Mary R Duke, M.ED
• Camrian Antwannette Dukes
• Carl E Dukes, MD

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.