Lesley A Brandenburg, BEHAVIOR TECHNIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1601 New Stine Road
Suite 260
Bakersfield, CA 93309

Phone

(661) 215-5066

Fax

(661) 215-5066

NPI assigned

Feb 23, 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

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.

• DV Therapy Inc.

  • Speech-Language Pathologist
  • Los Angeles, CA
  • NPI 1518363597
  NPD

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1417458563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S. LA CIENEGA BLVD",
            "address_2": "SUITE #208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "661-215-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEW STINE ROAD",
            "address_2": "SUITE 260",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-215-5066",
            "fax_number": "661-215-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "LESLEY",
        "middle_name": "A",
        "credential": "BEHAVIOR TECHNIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-04-02",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diane Braisher
• Alejandrina Brambila
• Bobby Bramlett, D.C.
• Branden L Dailey DDS a Dental Corporation
• Bethany Brandenburg
• Summer Brandom
• Brandon McCullough Dental Corporation
• Brittany Brandon
• Julienne Marie Brandon, PT
• Lilian Brandon

• Behavior Technician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.