Brooke Devereaux
Individual provider Active NPI Assistant Behavior Analyst · Russell, KS
NPI 1780488403 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1780488403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 971 E Wichita Ave
Russell, KS 67665-2444 - Phone
- (212) 481-4040
- NPI assigned
- Apr 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Solutions, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
971 E Wichita Ave
Russell, KS 67665-2444
Mailing address
971 E Wichita Ave
Russell, KS 67665-2444
Phone (212) 481-4040
Other providers in Russell, KS
- Eugene Merle Davidson
- Emily J Decker
- Holly Christina Decker
- Developmental Services of Northwest Kansas, Inc.
- Developmental Services of Northwest Kansas, Inc.
- Blanca Diaz-Romero
- Jill Marie Doerfler-Iniguez
- Don Dawson Pharmacy Inc
- Samantha May Dortland
- Audrey Ann Dougherty
All providers in Russell, KS · Assistant Behavior Analyst in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.