Active NPI
Nathanael Jacob Isaiah Nash, RBT, RLT
- Behavior Technician
- Leesville, LA
National Provider Identifier
1013749845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- R-19463
- Practice address
- 422 VFW Rd
Leesville, LA 71446-6302 - Phone
- (917) 526-2384
- NPI assigned
- Aug 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | R-19463 | LA | Primary |
Addresses
Primary practice location
422 VFW Rd
Leesville, LA 71446-6302
Mailing address
6722 Coit St Apt a
Fort Johnson, LA 71459-3216
Phone (909) 782-8359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-19463 | LA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Behavior Change, LLC | Behavior Technician | Current | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1013749845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6722 COIT ST APT A",
"city": "FORT JOHNSON",
"state": "LA",
"postal_code": "714593216",
"telephone_number": "909-782-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 VFW RD",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714466302",
"telephone_number": "917-526-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "NATHANAEL",
"middle_name": "JACOB ISAIAH",
"name_prefix": "Mr.",
"credential": "RBT, RLT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "R-19463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.