Active NPI
Brenin Newberry, CBT
- Behavior Analyst
- Ferndale, WA
National Provider Identifier
1992491302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CB61399170
- Practice address
- 5711 Vista Dr Ste 100
Ferndale, WA 98248-8333 - Phone
- (360) 746-4092
- NPI assigned
- Apr 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CB61399170 | WA | Primary |
Addresses
Primary practice location
5711 Vista Dr Ste 100
Ferndale, WA 98248-8333
Mailing address
2881 Lake Whatcom Blvd
Bellingham, WA 98229-5206
Phone (360) 746-4092
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB61399170 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endless Potential, LLC | Behavior Analyst | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Bellingham, WA
- NPI 1720326648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1992491302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2881 LAKE WHATCOM BLVD",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982295206",
"telephone_number": "360-746-4092",
"fax_number": "877-205-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 VISTA DR STE 100",
"city": "FERNDALE",
"state": "WA",
"postal_code": "982488333",
"telephone_number": "360-746-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "BRENIN",
"credential": "CBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CB61399170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.