Active NPI
Natalie Alleene Brod Evins, BCBA, LBA
- Behavior Analyst
- Lake Jackson, TX
National Provider Identifier
1679290191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 5436
- Practice address
- 115 N Dixie Dr Ste 320
Lake Jackson, TX 77566-5958 - Phone
- (979) 292-8320
- NPI assigned
- Oct 25, 2022
- Last updated
- Oct 25, 2022
- Sex
- Female
- 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 Analyst | 103K00000X | 5436 | TX | Primary |
Addresses
Primary practice location
115 N Dixie Dr Ste 320
Lake Jackson, TX 77566-5958
Mailing address
112 Manor PL
Lake Jackson, TX 77566-4910
Phone (713) 855-8993
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasito a Pasito Applied Behavior Analysis LLC | Behavior Analyst | Current | Accepting new patients |
Locations
115 N Dixie Dr
Ste 320
Lake Jackson, TX 77566
Phone (979) 292-8320
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.
-
- Behavior Analyst
- Lake Jackson, TX
- NPI 1396255287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1679290191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MANOR PL",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664910",
"telephone_number": "713-855-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N DIXIE DR STE 320",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665958",
"telephone_number": "979-292-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROD EVINS",
"first_name": "NATALIE",
"middle_name": "ALLEENE",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "5436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.