NPI 1003411596 · live from the CMS NPI Registry
Caroline Brannock, BCBA
Behavior Analyst in Huntington, WV. National Provider Identifier 1003411596, active.
NPI record
| NPI | 1003411596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 10 6th Ave W, Huntington, WV 25701 |
| Practice phone | 304-525-8014 |
| Mailing address | 3209 Chase St, Huntington, WV 25704 |
| Enumerated | December 2, 2020 |
| Last updated | February 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | COBA.01573 (OH) |
| Behavior Analyst primary | 103K00000X | 1-22-61579 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.