Individual provider Active NPI

Brianna Leveston, BCBA

  • Behavior Analyst
  • Villa Rica, GA
National Provider Identifier
1457915951
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
3936 Issued in TX
Practice address
43 Community Square Blvd Unit 1098
Villa Rica, GA 30180-5743
Phone
(469) 400-1424
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-47505
Behavior Analyst 103K00000X 3936 TX Primary

Addresses

Primary practice location

43 Community Square Blvd Unit 1098
Villa Rica, GA 30180-5743

Mailing address

43 Community Square Blvd Unit 1098
Villa Rica, GA 30180-5743
Phone (469) 400-1424

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nova ABA & Therapy Solutions LTD. Behavior Analyst CurrentSince Nov 16, 2021 Accepting new patients
Georgia Behavior Associates LLC Behavior Analyst Past Accepting new patients
Epic Health Services, Inc. Past Accepting new patients
Epic Health Services, Inc. PastSince Feb 2, 2025 Accepting new patients

Locations

43 Community Square Blvd
Unit 1098
Villa Rica, GA 30180
Phone (469) 400-1424

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1457915951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COMMUNITY SQUARE BLVD UNIT 1098",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805743",
            "telephone_number": "469-400-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 COMMUNITY SQUARE BLVD UNIT 1098",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805743",
            "telephone_number": "469-400-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESTON",
        "first_name": "BRIANNA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-47505",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.