Renee M Brown, CB

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61036079 Issued in WA

Practice address

22845 SE 1St PL Apt 215
Sammamish, WA 98074-5038

Phone

(805) 668-8961

Fax

(208) 416-6922

NPI assigned

Jan 29, 2020

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

State licenses

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1801427794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22845 SE 1ST PL APT 215",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980745038",
            "telephone_number": "805-668-8961",
            "fax_number": "208-416-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22845 SE 1ST PL APT 215",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980745038",
            "telephone_number": "805-668-8961",
            "fax_number": "208-416-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RENEE",
        "middle_name": "M",
        "credential": "CB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61036079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE",
            "identifier": "CB61036079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• America Victoria Breton
• Brighttrek ABA Therapy
• Tawnya Brown Grieve
• Ashley Brown, DPT
• Christopher Bao Brown, D.D.S.
• Autumn Noel Brunke, LMP
• Stephanie Brunner, MD
• Naomi J Bryant, N.D.
• Ana Burcheci
• Emily Catherine Burghardt, PT,DPT

• Behavior Technician in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.