Individual provider Active NPI

Skylar Nicole Reiff, BCBA

  • Behavior Analyst
  • Bismarck, ND
National Provider Identifier
1104480904
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1615 Capitol Way
Bismarck, ND 58501-2218
Phone
(701) 204-7870
NPI assigned
Apr 26, 2019
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 1982744 ND
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1615 Capitol Way
Bismarck, ND 58501-2218

Mailing address

765 Horizon Cir
Grand Forks, ND 58203-1802
Phone (701) 713-0564

Other practice location 1

2520 Chestnut St
Grand Forks, ND 58201-7520
Phone (701) 491-2510

Other practice location 2

901 N Santa Fe Ave
Fountain, CO 80817-1738
Phone (719) 822-0550

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
1982744NDMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Conulstants, LLC Behavior Analyst Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1104480904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 HORIZON CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582031802",
            "telephone_number": "701-713-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 CAPITOL WAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012218",
            "telephone_number": "701-204-7870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582017520",
            "country_code": "US",
            "telephone_number": "701-491-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Fountain",
            "state": "CO",
            "postal_code": "808171738",
            "country_code": "US",
            "telephone_number": "719-822-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIFF",
        "first_name": "SKYLAR",
        "middle_name": "NICOLE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ND",
            "license": "1982744",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.