IndividualActive
Breanna Koopman, BCBA
NPI 1548133655 · Behavior Analyst · Davis, WV
Provider details
- NPI number
- 1548133655
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25 Thistle Ln
Davis, WV 26260-1104
Phone: (304) 801-3258
Fax: (304) 362-0025
Street-level locationGet directions
Mailing address
25 Thistle Ln
Davis, WV 26260-1104
Additional practice locations (4)
- 79 Vicksburg RdBuckhannon, WV 26201-2450Phone: (304) 801-3258Fax: (304) 362-0025
- 1107 S Davis AveElkins, WV 26241-8703Phone: (304) 801-3258Fax: (304) 362-0025
- 601 Locust AveFairmont, WV 26554-4721Phone: (304) 801-3258Fax: (304) 362-0025
- 6127 Winchester AveInwood, WV 25428-4510Phone: (304) 801-3258Fax: (304) 362-0025
Registry dates
- Enumerated
- 2025-09-25
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.