Active NPI
Brown Bear Behavioral Consulting
- Behavior Analyst
- Fairbanks, AK
National Provider Identifier
1871001719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 125001
- Legal business name
- BROWN BEAR BEHAVIORAL CONSULTING
- Practice address
- 1806 Colville Street #6
Fairbanks, AK 99775-0001 - Phone
- (814) 580-8260
- Fax
- (814) 286-9120
- NPI assigned
- Jan 12, 2018
- Last updated
- Jan 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Tracey Marie Howland, MS, BCBA, LBA
- Title
- Owner & Bcba
- Phone
- (814) 580-8260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 125001 | AK | Primary |
Addresses
Primary practice location
1806 Colville Street #6
Fairbanks, AK 99775-0001
Mailing address
PO Box 80933
Fairbanks, AK 99708-0933
Phone (814) 580-8260
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Tallahassee, FL
- NPI 1568828820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515715200000",
"number": "1871001719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80933",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997080933",
"telephone_number": "814-580-8260",
"fax_number": "814-286-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 COLVILLE STREET #6",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997750001",
"telephone_number": "814-580-8260",
"fax_number": "814-286-9120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWN BEAR BEHAVIORAL CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A",
"authorized_official_last_name": "HOWLAND",
"authorized_official_first_name": "TRACEY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER & BCBA",
"authorized_official_telephone_number": "814-580-8260",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MS, BCBA, LBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "AK",
"license": "125001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.