Brittany Brink, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-17991 Issued in CA

Practice address

826 Joann St
Costa Mesa, CA 92627-3321

Phone

(714) 310-4377

Fax

(888) 745-6153

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Behavior Consultants

  • Behavior Analyst
  • Costa Mesa, CA
  • NPI 1356822787
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1770970394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 JOANN ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273321",
            "telephone_number": "714-310-4377",
            "fax_number": "888-745-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "BRITTANY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-17991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@unitedbehaviorconsultants.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "826 Joann St",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926273321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Breakwater Recovery, LLC
• Patricia Brewer
• Scott Briggs
• Swantee Lashon Briggs
• Brighter Days MHC LLC
• Alice Ina Brinkmann, LVN
• Dana Jeanjaquet Briosos
• Juan Carlos Briseno
• Bristol Park Medical Group
• Bristol Park Medical Group, Inc

• Behavior Analyst in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.