Dylan Bird, RBT

Key facts

NPI

1013489566

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

RBT-18-74051 (GA)

Practice address

1110 13TH St Ste D
Columbus, GA 31901-2246

Phone

(706) 780-1704

NPI assigned

Dec 21, 2018

Sex

Male

Sole proprietor

No

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.

• Zoe Center for ABA and Development Services, LLC Behavior Analyst · Columbus, GA · NPI 1518469220
  NPD

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2021.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1013489566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 13TH ST STE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012246",
            "telephone_number": "706-780-1704",
            "fax_number": "706-780-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 13TH ST STE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012246",
            "telephone_number": "706-780-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3771 Stefani Rd",
            "address_purpose": "LOCATION",
            "city": "Cantonment",
            "state": "FL",
            "postal_code": "325337795",
            "country_code": "US",
            "telephone_number": "850-607-6910",
            "fax_number": "850-607-6932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "DYLAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-21",
        "last_updated": "2021-01-05",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "RBT-18-74051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Columbus, GA · Behavior Technician in Georgia