Mari-Breanna Lowe

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

4190 Issued in TX

Practice address

816 Keller Pkwy Ste B302
Keller, TX 76248-2479

Phone

(817) 562-8731

Fax

(817) 562-8222

NPI assigned

Jun 22, 2021

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 identifiers 2

Electronic endpoints 1

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 and National Provider Directory roles.

• The Missing Peace Autism Therapy Center, LLC

  • Behavior Analyst
  • Keller, TX
  • NPI 1023412178
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1992374151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 KELLER PKWY STE B302",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482479",
            "telephone_number": "817-562-8731",
            "fax_number": "817-562-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 KELLER PKWY STE B302",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482479",
            "telephone_number": "817-562-8731",
            "fax_number": "817-562-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "MARI-BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4190",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB CERTIFICATION NUMBER",
            "identifier": "1-21-49354",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.missingpeacetherapy.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "address_1": "816 Keller Pkwy Ste B302",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762482479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lone Star Lactation
• Lone Star Med Spa and Health LLC
• Stefanie Long, DPT
• Ana I. Lopez, M.D.
• Jamiel K Lotz, LPC
• Clifford Michael Loy, MSW
• Erica Angelina Lucero
• Lucia a. Welding, O.D., P.C.
• Cristina Lundy
• Lustig and Young Orthodontics

• Behavior Analyst in Keller, TX
• Providers in Keller, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.