Lisa Brown, MA. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12428 Issued in NU

Practice address

2817 E Dupont Rd
Fort Wayne, IN 46825-1668

Phone

(260) 245-1455

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By the provider in NPPES

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

Practice roles

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.

• Fort Wayne Autism Center Inc

  • Behavior Analyst
  • Fort Wayne, IN
  • NPI 1750664561
  NPD (past)
• Ripple Effects Autism Learning Center, LLC

  • Behavior Analyst
  • South Haven, MI
  • NPI 1275001828
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1578801981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 DUPONT LAKES DR APT 2A",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468257335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251668",
            "telephone_number": "260-245-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "credential": "MA. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-12-12428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay Elizabeth Brown
• Keegan Brown
• Kerry-Ann Melisa Brown, PMHNP
• Lauren Brown
• Lindsay Renee Brown
• Lori Rachel Brown, B.S.
• Megan L Brown, RBT
• Michelle L Brown, SLP
• Mikaela K Brown
• Rebecca Ruth Krull Brown, FNP

• Behavior Analyst in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.