Brooklyn Eryn Dunham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

ABA-IN-10227432 Issued in OR

Practice address

320 6TH St
Raymond, WA 98577-2503

Phone

(360) 915-6868

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Basics NW LLC

  • Behavior Analyst
  • Raymond, WA
  • NPI 1073864849
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1508640707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 6TH ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772503",
            "telephone_number": "360-915-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 6TH ST",
            "city": "RAYMOND",
            "state": "WA",
            "postal_code": "985772503",
            "telephone_number": "360-915-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "BROOKLYN",
        "middle_name": "ERYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OR",
            "license": "ABA-IN-10227432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Delfin
• Jocelyn Delgado
• Jenna Dokter
• Jadah Doney
• Jack David Drennen
• Sunny Durham
• Michaela Irene Eastham
• Matthew Allen Ebling
• Educational Service District 113
• Mark Michael Eschbach, D.C.

• Behavior Technician in Raymond, WA
• Providers in Raymond, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.