Individual provider Active NPI

Heather Brown, BCBA

  • Behavior Analyst
  • Columbus, GA
National Provider Identifier
1629451976
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
273058991 Issued in GA
Practice address
6100 Veterans Pkwy
Suite 11
Columbus, GA 31909-6223
Phone
(706) 221-8966
Fax
(706) 221-8967
NPI assigned
Jul 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 273058991 GA Primary

Addresses

Primary practice location

6100 Veterans Pkwy
Suite 11
Columbus, GA 31909-6223

Mailing address

6100 Veterans Pkwy
Suite 11
Columbus, GA 31909-6223
Phone (706) 221-8966

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

State licenses

LicenseStateTypeSpecialty
273058991GAMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1629451976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 VETERANS PKWY",
            "address_2": "SUITE 11",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096223",
            "telephone_number": "706-221-8966",
            "fax_number": "706-221-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 VETERANS PKWY",
            "address_2": "SUITE 11",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096223",
            "telephone_number": "706-221-8966",
            "fax_number": "706-221-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "HEATHER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "273058991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.