Carolina Branham, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44498

Practice address

5730 Northwest Pkwy Ste 115
San Antonio, TX 78249-3378

Phone

(888) 754-0398

Fax

(954) 982-6491

NPI assigned

Jul 16, 2018

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

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.

• Vocational Development Group, LLC

  • Behavior Analyst
  • Davie, FL
  • NPI 1811352099
  NPD (past)

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1417433137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 NW 5TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096112",
            "telephone_number": "888-754-0398",
            "fax_number": "954-982-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 NORTHWEST PKWY STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493378",
            "telephone_number": "888-754-0398",
            "fax_number": "954-982-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "CAROLINA",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "34187345",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-20-44498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brandt
• Katherine Marie Brandt, MD
• Charlotte Marie Brandvig, LCSW-S
• Brandy L. McCray, MD, Faap, PA
• Donald W. Brangan, LPC
• Harold M. Brannan, M.D.
• Laura Brannen, MD
• Justin Kyle Brantley, LPC
• Shanna Brantley, FNP
• Toni Raquel Brantley, MSN,BSN,RN

• 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 Jan 28, 2022; 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.