Individual provider Active NPI

Brittany Toni Charlot, BCBA

  • Behavior Analyst
  • Waco, TX
National Provider Identifier
1861089682
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5730 Issued in TX
Practice address
6824 Logue LN
Waco, TX 76708-7241
Phone
(254) 327-2001
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 5730 TX Primary

Addresses

Primary practice location

6824 Logue LN
Waco, TX 76708-7241

Mailing address

620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262

Other practice location 1

620 N Robinson Dr
Robinson, TX 76706-5312
Phone (254) 732-2262

Other names 1

  • Brittany Toni Gonzales Former name

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

LicenseStateTypeSpecialty
5730TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1861089682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N ROBINSON DR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065312",
            "telephone_number": "254-732-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 LOGUE LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767087241",
            "telephone_number": "254-327-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 N Robinson Dr",
            "address_purpose": "LOCATION",
            "city": "Robinson",
            "state": "TX",
            "postal_code": "767065312",
            "country_code": "US",
            "telephone_number": "254-732-2262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLOT",
        "first_name": "BRITTANY",
        "middle_name": "TONI",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "GONZALES",
            "middle_name": "TONI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.