Active NPI
Bradley Cochran, RBT
- Behavior Technician
- Ronaoke, VA
National Provider Identifier
1891330403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT19103025
- Practice address
- 3243 Electric Rd.
Building E Suite 1B
Ronaoke, VA 24018 - Phone
- (540) 404-1189
- Fax
- (540) 404-1189
- NPI assigned
- Nov 7, 2019
- Sex
- Male
- 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 Technician | 106S00000X | RBT19103025 | VA | Primary |
Addresses
Primary practice location
3243 Electric Rd.
Building E Suite 1B
Ronaoke, VA 24018
Mailing address
3243 Electric Rd.
Building E Suite 1B
Ronaoke, VA 24018
Phone (540) 404-1189
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT19103025 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1891330403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 ELECTRIC RD.",
"address_2": "BUILDING E SUITE 1B",
"city": "RONAOKE",
"state": "VA",
"postal_code": "24018",
"telephone_number": "540-404-1189",
"fax_number": "540-404-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3243 ELECTRIC RD.",
"address_2": "BUILDING E SUITE 1B",
"city": "RONAOKE",
"state": "VA",
"postal_code": "24018",
"telephone_number": "540-404-1189",
"fax_number": "540-404-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "BRADLEY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT19103025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronaoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.