Brianna Nicole Bohnert

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133001978 Issued in VA

Practice address

628 Lake St NE
Wise, VA 24293-7919

Phone

(276) 328-8017

NPI assigned

May 21, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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.

• Blue Mountain Therapy, LLC

  • Behavior Analyst
  • Abingdon, VA
  • NPI 1497330401
  NPD (past)
• Blue Mountain Therapy, LLC

  • Early Intervention Provider Agency
  • Abingdon, VA
  • NPI 1760818595
  NPD (past)
• Wise County Public Schools

  • School Nurse Practitioner
  • Wise, VA
  • NPI 1003922972
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1396310504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 EMORY AVE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242934413",
            "telephone_number": "276-245-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 LAKE ST NE",
            "city": "WISE",
            "state": "VA",
            "postal_code": "242937919",
            "telephone_number": "276-328-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNERT",
        "first_name": "BRIANNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchoring Hope Counseling, PLLC
• Michelle James Arney, PHARM.D.
• Allison Slemp Bartlett, R.D.H.
• James Bradley Bates, CRNA
• Kathryn Blunt, LCSW
• Cari S. Braddock
• Amy Elizabeth Brock, PSY S; NCSP
• Kalianna Grace Brooks
• Tiffany Buchanan, LPC
• Jack Butler

• Behavior Analyst in Wise, VA
• Providers in Wise, VA by specialty
• Behavior Analyst in Virginia

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