Individual provider Active NPI

Brenda Renee McCoy, BCBA, COBA

  • Behavior Analyst
  • Mason, OH
National Provider Identifier
1851814362
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-27351
Practice address
6396 Thornberry CT Ste 710
Mason, OH 45040-7815
Phone
(859) 349-2565
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-17-27351 Primary

Addresses

Primary practice location

6396 Thornberry CT Ste 710
Mason, OH 45040-7815

Mailing address

6396 Thornberry CT Ste 710
Mason, OH 45040-7815

Other practice location 1

2522 Nutter Park Dr
Beavercreek, OH 45434-3500
Phone (937) 306-8811

Other practice location 2

2570 Technical Dr
Miamisburg, OH 45342-6107
Phone (937) 847-8750

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

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Solutions Behavior Group LLC Behavior Analyst CurrentSince Apr 3, 2022 Accepting new patients

Locations

2522 Nutter Park Dr
Dayton, OH 45434
Phone (859) 282-0400

6396 Thornberry Ct
Ste 710
Mason, OH 45040
Phone (859) 282-0400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1851814362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6396 THORNBERRY CT STE 710",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 THORNBERRY CT STE 710",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407815",
            "telephone_number": "859-349-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2522 Nutter Park Dr",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454343500",
            "country_code": "US",
            "telephone_number": "937-306-8811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2570 Technical Dr",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453426107",
            "country_code": "US",
            "telephone_number": "937-847-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "BRENDA",
        "middle_name": "RENEE",
        "credential": "BCBA, COBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-27351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.