Active NPI
Brandon Matthew Bach
- Behavior Technician
- Roanoke, VA
National Provider Identifier
1639033574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1543870
- Practice address
- 3433 Brambleton Ave Ste 201a
Roanoke, VA 24018-6527 - Phone
- (540) 562-9997
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1543870 | VA | Primary |
Addresses
Primary practice location
3433 Brambleton Ave Ste 201a
Roanoke, VA 24018-6527
Mailing address
313 Elden Street
Suite 302
Herndon, VA 20170
Phone (540) 562-9997
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1543870 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1639033574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 ELDEN STREET",
"address_2": "SUITE 302",
"city": "HERNDON",
"state": "VA",
"postal_code": "20170",
"telephone_number": "540-562-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3433 BRAMBLETON AVE STE 201A",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240186527",
"telephone_number": "540-562-9997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACH",
"first_name": "BRANDON",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-15",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "BACB1543870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.