Taylor Autumn Booth

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

909 Center St
New Ulm, MN 56073-3251

Phone

(507) 766-6218

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1114687050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 LYNDALE ST",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560033021",
            "telephone_number": "507-766-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 CENTER ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733251",
            "telephone_number": "507-766-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "TAYLOR",
        "middle_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Bloedow, PHARM.D.
• Callie Beth Boehme, PT, DPT
• Karla Kaye Boettcher, NP-C
• Lindsay Boettger, MA, LPCC
• Megan Jean Bolduan, OTR/L
• Laura Elizabeth Boraas, PT, DPT
• Lukas Borgwardt, OD
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• Brown County Evaluation Center Inc
• Brown County Family Services

• Behavior Technician in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.