Active NPI
Ethan Dewey Brewer, BCABA
- Behavior Analyst
- Sumter, SC
National Provider Identifier
1922457688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0-16-7040
- Practice address
- 2580 Lin-DO CT
Sumter, SC 29150-1832 - Phone
- (803) 905-4427
- NPI assigned
- Jun 3, 2016
- 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 Analyst | 103K00000X | 0-16-7040 | Primary |
Addresses
Primary practice location
2580 Lin-DO CT
Sumter, SC 29150-1832
Mailing address
1529 Sam Rittenberg Blvd
Unit 1-B
Charleston, SC 29407-4194
Phone (888) 547-2250
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lonestar Behavior Collaborative, LLC | Behavior Analyst | Current | Accepting new patients |
| Carolina Behavioral Specialists, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Austin, TX
- NPI 1366247231
-
- Behavior Analyst
- Charleston, SC
- NPI 1639609373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1922457688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 SAM RITTENBERG BLVD",
"address_2": "UNIT 1-B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074194",
"telephone_number": "888-547-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 LIN-DO CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501832",
"telephone_number": "803-905-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "ETHAN",
"middle_name": "DEWEY",
"credential": "BCABA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-03",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "0-16-7040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.