Active NPI
Eva Lynn Jiang Fang Brazelton
- Behavior Technician
- Littleton, CO
National Provider Identifier
1831974328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 17-077-3257
- Practice address
- 7851 S Elati St Ste 103
Littleton, CO 80120-8081 - Phone
- (720) 776-4099
- NPI assigned
- Aug 31, 2023
- 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 Technician | 106S00000X | 17-077-3257 | CO | Primary |
Addresses
Primary practice location
7851 S Elati St Ste 103
Littleton, CO 80120-8081
Mailing address
5850 Granite Pkwy Ste 600
Plano, TX 75024-6753
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-077-3257 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1831974328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5850 GRANITE PKWY STE 600",
"city": "PLANO",
"state": "TX",
"postal_code": "750246753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7851 S ELATI ST STE 103",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801208081",
"telephone_number": "720-776-4099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZELTON",
"first_name": "EVA",
"middle_name": "LYNN JIANG FANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "17-077-3257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.