Individual provider Active NPI

Bree Tsurue Chang, BCBA

  • Behavior Analyst
  • Bremerton, WA
National Provider Identifier
1417420928
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-34260 Issued in WA
Practice address
1654 W Admiralty Heights Lane
BLG A2 Apt 101
Bremerton, WA 98312-9831
Phone
(808) 721-8180
NPI assigned
Jan 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-34260 WA Primary

Addresses

Primary practice location

1654 W Admiralty Heights Lane
BLG A2 Apt 101
Bremerton, WA 98312-9831

Mailing address

1654 W Admiralty Heights LN BLDG A2-101
Bremerton, WA 98312-5362
Phone (808) 721-8180

Other names 1

  • Mrs. Bree T. Chang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1417420928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 W ADMIRALTY HEIGHTS LN BLDG A2-101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983125362",
            "telephone_number": "808-721-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 W ADMIRALTY HEIGHTS LANE",
            "address_2": "BLG A2 APT 101",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983129831",
            "telephone_number": "808-721-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BREE",
        "middle_name": "TSURUE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "1-18-34260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREE",
            "last_name": "CHANG",
            "middle_name": "T.",
            "prefix": "MRS.",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.