Individual provider Active NPI

Regina Brimmer, MS, BCBA, LBS

  • Behavior Analyst
  • State College, PA
National Provider Identifier
1609261775
Registry record updated Apr 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH001503 Issued in PA
Practice address
127 Clemson CT
State College, PA 16803-1178
Phone
(410) 241-2659
NPI assigned
Apr 5, 2015
Last updated
Apr 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 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 BH001503 PA Primary

Addresses

Primary practice location

127 Clemson CT
State College, PA 16803-1178

Mailing address

127 Clemson CT
State College, PA 16803-1178
Phone (410) 241-2659

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

State licenses

LicenseStateTypeSpecialty
BH001503PAMDBehavioral Analyst

Organizations & group practices 1

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": "1428192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428192000000",
    "number": "1609261775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CLEMSON CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031178",
            "telephone_number": "410-241-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CLEMSON CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031178",
            "telephone_number": "410-241-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMMER",
        "first_name": "REGINA",
        "credential": "MS, BCBA, LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-05",
        "last_updated": "2015-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.