Diane Brous, M.A. SPECIAL ED

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

854 E Broadway Apt 7H
Long Beach, NY 11561-4733

Phone

(516) 897-0412

NPI assigned

Oct 29, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1669844668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 E BROADWAY",
            "address_2": "APT 7H",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614758",
            "telephone_number": "516-287-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 E BROADWAY APT 7H",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614733",
            "telephone_number": "516-897-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUS",
        "first_name": "DIANE",
        "credential": "M.A. SPECIAL ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATIONAL AGENCY",
            "identifier": "103K00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meyanne Putnam Briffel, O.D.
• Renae C Bright, PHYSICIAN ASSISTANT
• Lauren Elisabeth Broderick, PMHNP
• Mark A Brodsky, RPH
• Margreth J. Brontoli, MD
• Keri Brucato, M.ED.
• Bruce a Fastenberg MD PLLC
• Rosalin Brueck, LMHC
• Samantha Elizabeth Brumfield, LICENSED PRACTICAL N
• Keith Spencer Bryan, LCSW

• All providers in Long Beach, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.