Deandra Braden, CRISIS RES SPEC
Individual provider Active NPI Behavior Analyst · Gallipolis, OH
NPI 1619857083 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1619857083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 100 West Ave
Gallipolis, OH 45631-1674 - Phone
- (740) 446-5554
- Fax
- (740) 446-8988
- NPI assigned
- Sep 5, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
100 West Ave
Gallipolis, OH 45631-1674
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.