ELIZABETH BRADY (NPI# 1104242627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104242627 |
| Entity Type | Individual |
| Full Name | ELIZABETH BRADY |
| Credential | MED, BCBA, LBA |
| Practice Address |
11905 Bowman Dr Ste 507 Fredericksburg VA 22408-7344 |
| Mailing Address |
212 Monument Rd Locust Grove VA 22508-5156 |
| Practice Telephone | 5403959962 |
| Practice Fax Number | 7038523029 |
| Mailing Telephone | 3392237371 |
| Mailing Fax Number | 7038523029 |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2017-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133000901 | VA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 1-13-14294 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538552161 | Elizabeth Brady | Speech-Language Pathologist | 9104 Fernhill Ave, Parma, OH 44129-2028 | 2015-03-06 |
| 1396941761 | Elizabeth May Brady | Counselor | 85 Felt Rd, Suite 603, South Windsor, CT 06074-3870 | 2007-06-22 |
| 1861493132 | Elizabeth W. Brady | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2005-08-09 |
| 1013470517 | Elizabeth Brady | Social Worker | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2019-04-11 |
| 1275038796 | Elizabeth Jane Brady | Occupational Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2018-03-27 |
| 1134229990 | Elizabeth Hubbard Brady | Social Worker | 1619 Dayton Ave, Suite 110, Saint Paul, MN 55104-6206 | 2006-09-22 |
| 1114022415 | Elizabeth Ann Brady | Nurse Anesthetist, Certified Registered | 909 Sumner St, Stoughton, MA 02072-3396 | 2006-09-13 |
| 1447368303 | Elizabeth Brady | Nurse Practitioner | 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-08-29 |
| Street Address |
11905 BOWMAN DR STE 507 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408-7344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551807 | Tanika Boyette | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2020-09-02 |
| 1407470925 | Dominque Washington | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2020-06-01 |
| 1104440700 | Isabel Scholz | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2020-05-31 |
| 1841824042 | Nathan Willis | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2020-02-26 |
| 1700410396 | Shakia Williams | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2020-02-24 |
| 1013554757 | Pariss Samuels | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2019-12-02 |
| 1609419605 | Kisma Dickerson | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2019-10-22 |
| 1306488135 | Katie Gamache | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2019-10-14 |
| 1952942369 | Avery Kopp | Assistant Behavior Analyst | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2019-10-07 |
| 1073163747 | Virginia Cox | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406723 | Paris Terrell | Behavioral Analyst | 4528 Plank Rd Ste A3, Fredericksburg, VA 22407-0141 | 2020-08-05 |
| 1558996256 | Kate Vennergrund | Behavioral Analyst | 4528 Plank Rd # B-c, Fredericksburg, VA 22407-0141 | 2020-03-03 |
| 1639694110 | Heather Niemiec | Behavioral Analyst | 312 Progress St Ste 300, Fredericksburg, VA 22401 | 2017-08-07 |
| 1164946273 | Katrina Marie Bialecki | Behavioral Analyst | 904 Princess Anne St Ste 407, Fredericksburg, VA 22401-5804 | 2017-07-31 |
| 1790133924 | Elizabeth Liskom | Behavioral Analyst | 1602-1604 William Street, Fredericksburg, VA 22401-5549 | 2016-05-27 |
| 1285010090 | Dana Hitt | Behavioral Analyst | 492 Cropp Rd., Fredericksburg, VA 22406 | 2015-08-04 |
| 1346655503 | Tamica Nathalie Autry | Behavioral Analyst | 4313 Mount Vernon Place, Fredericksburg, VA 22401 | 2014-06-26 |
| 1578995858 | Amber Boozer | Behavioral Analyst | 1329 Alum Spring Dr. Ste 202, Fredericksburg, VA 22401-8011 | 2013-08-08 |
| 1841557584 | Nathan Creech | Behavioral Analyst | 1329 Alum Spring Rd Ste 202, Fredericksburg, VA 22401-8011 | 2012-04-19 |
| 1235496092 | Nicole T Thomas | Behavioral Analyst | 4201 Bridlepath Ct, Fredericksburg, VA 22408-8813 | 2012-04-18 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
Please comment or provide details below to improve the information on ELIZABETH BRADY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.