Brianna Fagan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

KIPBS - 99-07 Issued in KS

Practice address

2537 Eisenhower Rd
Ottawa, KS 66067-9482

Phone

(785) 242-3780

Fax

(785) 242-6397

NPI assigned

Apr 3, 2014

Last updated

Apr 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brianna Derley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elizabeth Layton Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ottawa, KS
  • NPI 1649296757
  NPD (past)
• Elizabeth Layton Center, Inc.

  • Community/Behavioral Health Agency
  • Ottawa, KS
  • NPI 1972209732
  NPD (past)

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1952729147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670677",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 EISENHOWER RD",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660679482",
            "telephone_number": "785-242-3780",
            "fax_number": "785-242-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "BRIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": "KIPBS - 99-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "DERLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Layton Center, Inc.
• Empowered Edge Resources LLC
• Epiphany Counseling Centre
• ER Physicians South PA
• Evernorth Direct Health LLC
• Nancy Ann Falkner, M.A., P.T.
• Jocelyn D Filson, LPC
• Nicole Marie Firestone, APRN, PMHNP-BC
• Keteri M. Fleet, MD
• Raymona L Folsom, LPC

• Behavior Analyst in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.