Individual provider Active NPI

Molly Burks

  • Behavior Technician
  • Meridian, ID
National Provider Identifier
1013805456
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1905 S Topaz Way Ste 100
Meridian, ID 83642-4477
Phone
(208) 518-0870
NPI assigned
Jun 25, 2025
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

1905 S Topaz Way Ste 100
Meridian, ID 83642-4477

Mailing address

65151 Smokey Ridge Rd
Bend, OR 97703-9266
Phone (541) 408-8953

Other practice location 1

1087 E Park Blvd
Suite 100
Boise, ID 83712
Phone (208) 369-9168

Other practice location 2

220 W Georgia Ave
Nampa, ID 83686-2835
Phone (208) 741-6124

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1013805456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65151 SMOKEY RIDGE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039266",
            "telephone_number": "541-408-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S TOPAZ WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424477",
            "telephone_number": "208-518-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1087 E Park Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83712",
            "country_code": "US",
            "telephone_number": "208-369-9168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 W Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836862835",
            "country_code": "US",
            "telephone_number": "208-741-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKS",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.