Active NPI
Breanna Renee Hammons, MSE, BCBA
- Behavior Analyst
- Benton, AR
National Provider Identifier
1881259430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-22317
- Practice address
- 1028 River Oaks
Benton, AR 72019-1887 - Phone
- (501) 213-5088
- NPI assigned
- May 8, 2019
- 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 Analyst | 103K00000X | 1-16-22317 | AR | Primary |
Addresses
Primary practice location
1028 River Oaks
Benton, AR 72019-1887
Mailing address
1028 River Oaks
Benton, AR 72019-1887
Phone (501) 213-5088
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1881259430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 RIVER OAKS",
"city": "BENTON",
"state": "AR",
"postal_code": "720191887",
"telephone_number": "501-213-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 RIVER OAKS",
"city": "BENTON",
"state": "AR",
"postal_code": "720191887",
"telephone_number": "501-213-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMONS",
"first_name": "BREANNA",
"middle_name": "RENEE",
"credential": "MSE, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "1-16-22317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.