Elaina Bravo Bravo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7533 Issued in TX

Practice address

11103 West Ave Ste 108
San Antonio, TX 78213-4915

Phone

(210) 340-2627

NPI assigned

May 20, 2021

Last updated

Sep 26, 2024By 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

State licenses

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1396310694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134915",
            "telephone_number": "210-340-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5522 Lone Star Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782536719",
            "country_code": "US",
            "telephone_number": "855-782-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "ELAINA",
        "middle_name": "BRAVO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "7533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Jacob Brauneck
• Brava Vita Counseling, LLC
• Braveheart Mental Health and Wellness
• Chelsey Anne Bravenec, MD
• Bravo Therapy and Independent Living Center LLC
• Melissa Evans Brawner, DPM
• Alexandra Bray
• Tamaya Bray, PHARMD
• Temple Leandra Bray
• Arlene Hinojosa Brazell, AGACNP-BC

• 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 Sep 26, 2024; 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.