Individual provider Active NPI

Jarel Brown, BCABA

  • Behavior Analyst
  • Houston, TX
National Provider Identifier
1891300042
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
5347 Issued in TX
Practice address
10777 Westheimer Rd Ste 1100
Houston, TX 77042-3462
Phone
(855) 832-6727
NPI assigned
Sep 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 3579 TX
Behavior Analyst 103K00000X 5347 TX Primary

Addresses

Primary practice location

10777 Westheimer Rd Ste 1100
Houston, TX 77042-3462

Mailing address

15115 Breeze Forest CT
Humble, TX 77346-4947

Other identifiers 2

IdentifierTypeStateIssuer
0-20-11122OtherTXBACB
3579OtherTXTEXAS DEPARTMENT OF LICENSING REGULATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jbrown@teampbs.com Health Information Exchange (HIE)

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
5347TXMDBehavioral Analyst
3579TXMDAssistant Behavior Analyst

Interoperability endpoints

  • Direct secure messaging: jbrown@teampbs.com

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1891300042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 BREEZE FOREST CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10777 WESTHEIMER RD STE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423462",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAREL",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "TX",
            "license": "3579",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "5347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "0-20-11122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSING REGULATION",
            "identifier": "3579",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jbrown@teampbs.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10777 Westheimer Rd Ste 1100",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770423462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.