Active NPI
Breanna Deshea Harris
- Behavior Analyst
- Birmingham, AL
National Provider Identifier
1417539545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-73834
- Practice address
- 3500 7TH Ave S
Birmingham, AL 35222-3211 - Phone
- (205) 490-8228
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-24-73834 | AL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3500 7TH Ave S
Birmingham, AL 35222-3211
Mailing address
3500 7TH Ave S
Birmingham, AL 35222-3211
Phone (205) 490-8228
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": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1417539545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352223211",
"telephone_number": "205-490-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352223211",
"telephone_number": "205-490-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BREANNA",
"middle_name": "DESHEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "1-24-73834",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.