Individual provider Active NPI

Brandi Fonville, M.S., BCBA

  • Behavior Analyst
  • Plano, TX
National Provider Identifier
1508251281
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18322 Issued in TX
Practice address
4105 W Spring Creek Pkwy
Suite 602
Plano, TX 75024-5283
Phone
(972) 596-0035
Fax
(972) 596-0030
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 1-15-18322 TX Primary

Addresses

Primary practice location

4105 W Spring Creek Pkwy
Suite 602
Plano, TX 75024-5283

Mailing address

4105 W Spring Creek Pkwy
Suite 602
Plano, TX 75024-5283
Phone (972) 596-0035

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Child ABA LLC Behavior Analyst Past Accepting new patients
Epic Strides Speech PastSince Nov 22, 2020 Accepting new patients
The Frisco Area Listening and Learning Center LLC PastSince Apr 6, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1508251281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY",
            "address_2": "SUITE 602",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245283",
            "telephone_number": "972-596-0035",
            "fax_number": "972-596-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY",
            "address_2": "SUITE 602",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245283",
            "telephone_number": "972-596-0035",
            "fax_number": "972-596-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONVILLE",
        "first_name": "BRANDI",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-15-18322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.