Active NPI
Brandi Fonville, M.S., BCBA
- Behavior Analyst
- Plano, TX
National Provider Identifier
1508251281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-15-18322
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Child ABA LLC | Behavior Analyst | Past | Accepting new patients |
| Epic Strides Speech | Past | Accepting new patients | |
| The Frisco Area Listening and Learning Center LLC | Past | 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.
-
- Behavior Analyst
- Corsicana, TX
- NPI 1417687021
-
- Speech-Language Pathologist
- Plano, TX
- NPI 1467054304
-
dba Epic Strides
- Community/Behavioral Health Agency
- Plano, TX
- NPI 1760613798
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.