Brandy Nicole Fowler, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

11622834 Issued in CA

Practice address

2339 Holden Ave
Oceano, CA 93445-9128

Phone

(559) 313-9538

NPI assigned

Jan 24, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2017.

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1972040269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 HOLDEN AVE",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459128",
            "telephone_number": "559-313-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 HOLDEN AVE",
            "city": "OCEANO",
            "state": "CA",
            "postal_code": "934459128",
            "telephone_number": "559-313-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "BRANDY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "11622834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of San Luis Obispo
• Lara B Curry, MA, LMFT
• Nubia Daguia, F.N.P.
• Rebecca P Duffy
• Ethan Roy Etnyre, MD
• Juliet Iannoli-Ballard
• Mia Malotte Leeper, M.S. CCC-SLP
• Victoria Tafoya Lowrie, VICTORIA LOWRIE MTBC
• Lucia Mar Unified School District
• Matthew Marron, RCS

• All providers in Oceano, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.