Active NPI
McKenzie Frisk
- Behavior Technician
- Billings, MT
National Provider Identifier
1033734819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 0703219964129
- Practice address
- 1701 Avenue E Ste a
Billings, MT 59102-2943 - Phone
- (406) 690-6996
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- 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 | 0703219964129 | MT | Primary |
Addresses
Primary practice location
1701 Avenue E Ste a
Billings, MT 59102-2943
Mailing address
6830 Copper Ridge Loop
Billings, MT 59106-2670
Phone (406) 697-8488
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 |
|---|---|---|---|
| 0703219964129 | MT | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1033734819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6830 COPPER RIDGE LOOP",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591062670",
"telephone_number": "406-697-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 AVENUE E STE A",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591022943",
"telephone_number": "406-690-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISK",
"first_name": "MCKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MT",
"license": "0703219964129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.