Active NPI
Scott Braud, BCBA
- Behavior Analyst
- Woodruff, SC
National Provider Identifier
1932361045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-03-1237
- Practice address
- 751 East Georgia Street
Suite 100
Woodruff, SC 29388 - Phone
- (864) 706-6835
- Fax
- (864) 476-0033
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 27, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | BCBA 1-03-1237 | SC | |
| Behavior Analyst | 103K00000X | 1-03-1237 | Primary |
Addresses
Primary practice location
751 East Georgia Street
Suite 100
Woodruff, SC 29388
Mailing address
751 East Georgia Rd.
Woodruff, SC 29388
Phone (864) 706-6835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX7450 | Medicaid | SC |
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 |
|---|---|---|---|
| Project Hope Foundation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hopereach
- Early Intervention Provider Agency
- Woodruff, SC
- NPI 1659533768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498521600000",
"number": "1932361045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 EAST GEORGIA RD.",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "29388",
"telephone_number": "864-706-6835",
"fax_number": "864-476-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 EAST GEORGIA STREET",
"address_2": "SUITE 100",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "29388",
"telephone_number": "864-706-6835",
"fax_number": "864-476-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUD",
"first_name": "SCOTT",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2017-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "SC",
"license": "BCBA 1-03-1237",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-03-1237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EX7450",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodruff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.