Individual provider Active NPI

Rylee Rae Bouillion

  • Behavior Analyst
  • Chillicothe, OH
National Provider Identifier
1063158475
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB582463 Issued in OH
Practice address
475 Western Ave Ste E
Chillicothe, OH 45601-2288
Phone
(740) 702-3120
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BACB582463 OH Primary

Addresses

Primary practice location

475 Western Ave Ste E
Chillicothe, OH 45601-2288

Mailing address

293 Steiner Rd
Chillicothe, OH 45601-8382
Phone (740) 542-9648

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

LicenseStateTypeSpecialty
BACB582463OHMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Pike County Educational Service District PastSince May 16, 2022 Accepting new patients
Pathways Behavioral Health, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1063158475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 STEINER RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018382",
            "telephone_number": "740-542-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WESTERN AVE STE E",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012288",
            "telephone_number": "740-702-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUILLION",
        "first_name": "RYLEE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "BACB582463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.