Brooke Charland Sacchetti, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16149 Issued in CA

Practice address

9994 Sowder Village SQ # 102
Manassas, VA 20109-5464

Phone

(855) 832-6727

NPI assigned

Dec 9, 2014

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

Other identifiers 1

Other names 1

• Brooke Eckhardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Alp Psychology Associates, PC

  • Behavior Analyst
  • Huntington Beach, CA
  • NPI 1538507447
  NPD (past)

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1588062483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9994 SOWDER VILLAGE SQ # 102",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095464",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25201 Paseo De Alicia",
            "address_2": "#110",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534626",
            "country_code": "US",
            "telephone_number": "855-295-3276",
            "fax_number": "818-241-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 Nanawale Pl",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967344072",
            "country_code": "US",
            "telephone_number": "408-887-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 Nanawale Pl",
            "address_purpose": "LOCATION",
            "city": "Kailua",
            "state": "HI",
            "postal_code": "967344072",
            "country_code": "US",
            "telephone_number": "408-887-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Kamokila Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072096",
            "country_code": "US",
            "telephone_number": "808-591-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACCHETTI",
        "first_name": "BROOKE",
        "middle_name": "CHARLAND",
        "credential": "M.A., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2022-07-14",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-14-16149",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "ECKHARDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeane Marie Ryder, ATC
• S. Kalim Hussaini, DDS, PLLC
• S. Kalim Hussaini, DDS, PLLC
• S&S Transport LLC
• Poonam Sabnani
• Audra K. Sacher, PSY.D.
• Talisha Autumn Sachlis, MS, BCBA
• Emma Marie Pauline Sadick, LCSW
• T S M Jafar Sadiq, MD
• Nancye Lynn Sadler, NP

• Behavior Analyst in Manassas, VA
• Providers in Manassas, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.