Rebecca Proctor

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-71963 Issued in MD

Practice address

8615 E Village Ave
Montgomery Village, MD 20886-4316

Phone

(240) 912-2220

Fax

(301) 926-9384

NPI assigned

Jul 18, 2019

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

State licenses

Practice roles

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.

• Csaac, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Montgomery Village, MD
  • NPI 1225137912
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1124671144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 E VILLAGE AVE",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864316",
            "telephone_number": "240-912-2220",
            "fax_number": "301-926-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 E VILLAGE AVE",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208864316",
            "telephone_number": "240-912-2220",
            "fax_number": "301-926-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-18-71963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Metropolitan Washington DC
• Play Connections Pediatrics
• Potomac Pediatric Care
• Potomac Valley Orthopaedic Associates, Chartered
• Prestige in Home Care
• Professional Services of Holy Cross
• Progressive Rehab LLC
• Protacio a Reyes MD PA
• Leah S. Reed, NCC, LCPC
• Revive Counseling Services, LLC

• Behavior Technician in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.