Individual provider Active NPI

Wanda Keeter Brothers, RBT

  • Behavior Technician
  • Spartanburg, SC
National Provider Identifier
1740947670
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
200 Elford CT
Spartanburg, SC 29306-3250
Phone
(864) 476-7400
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

200 Elford CT
Spartanburg, SC 29306-3250

Mailing address

200 Elford CT
Spartanburg, SC 29306-3250
Phone (864) 476-7400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wandabrothers@projecthope.org Project Hope Foundation
Direct Messaging Address wandabrothers@projecthopesc.org Project Hope Foundation

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

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1740947670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELFORD CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063250",
            "telephone_number": "864-476-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELFORD CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063250",
            "telephone_number": "864-476-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "WANDA",
        "middle_name": "KEETER",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wandabrothers@projecthope.org",
            "affiliation": "Y",
            "affiliationName": "Project Hope Foundation",
            "address_1": "200 Elford Ct",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293063250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wandabrothers@projecthopesc.org",
            "affiliation": "Y",
            "affiliationName": "Project Hope Foundation",
            "address_1": "200 Elford Ct",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293063250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.