Breann Michelle Dockery
Behavior Analyst in Austin, TX. Individual provider (NPI-1).
NPI number1407366198
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1407366198
- Entity type
- Individual (NPI-1)
- Name
- Breann Michelle Dockery
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2017
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1601 S Mopac ExpyAustin, TX 78746-7009
Phone 512-920-1030
Mailing address
18214 Hammondsport LnCypress, TX 77429-3983
Phone 936-520-6898
Other practice locations
11818 Se Mill Plain Blvd Ste 203
Vancouver, WA 98684-5090
Vancouver, WA 98684-5090
Phone 360-915-6868
8282 28th Ct Ne Ste A
Lacey, WA 98516-7162
Lacey, WA 98516-7162
Phone 360-915-6868
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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