NPIMap

Organization Active NPI

Brain Bridge ABA, LLC

  • Behavior Analyst
  • New Braunfels, TX
National Provider Identifier
1962868331
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
11416807 Issued in CO
Legal business name
BRAIN BRIDGE ABA, LLC
Practice address
1098 Provence PL
New Braunfels, TX 78132
Phone
(719) 439-0029
Fax
(210) 855-7844
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Megan Suermann, RN, BSN, M ED, BCBANPI 1114343696
Title
Behavior Analyst
Phone
(719) 439-0029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 11416807 CO Primary

Addresses

Primary practice location

1098 Provence PL
New Braunfels, TX 78132

Mailing address

1098 Provence PL
New Braunfels, TX 78132
Phone (719) 439-0029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1962868331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 PROVENCE PL",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "719-439-0029",
            "fax_number": "210-855-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 PROVENCE PL",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "719-439-0029",
            "fax_number": "210-855-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN BRIDGE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "SUERMANN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "719-439-0029",
        "authorized_official_credential": "RN, BSN, M ED, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "11416807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.