NPIMap

Organization Active NPI

Brady Behavior Analysis

  • Community/Behavioral Health Agency
  • Roswell, GA
National Provider Identifier
1912416611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-15-21048 Issued in GA
Legal business name
BRADY BEHAVIOR ANALYSIS
Practice address
11865 Wexford Club Dr
Roswell, GA 30075-1471
Phone
(925) 752-2119
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brian Brady, MS, BCBA
Title
Directorof ABA
Phone
(925) 752-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-15-21048 GA Primary

Addresses

Primary practice location

11865 Wexford Club Dr
Roswell, GA 30075-1471

Mailing address

11865 Wexford Club Dr
Roswell, GA 30075-1471
Phone (925) 752-2119

Other identifiers 1

IdentifierTypeStateIssuer
1225584220OtherNPI TYPE 1

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912416611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11865 WEXFORD CLUB DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751471",
            "telephone_number": "925-752-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 WEXFORD CLUB DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751471",
            "telephone_number": "925-752-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY BEHAVIOR ANALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOROF ABA",
        "authorized_official_telephone_number": "925-752-2119",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "1-15-21048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1225584220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.