Active NPI
Raelynn M Padilla Hampton, RBT
- Behavior Technician
- Rincon, GA
National Provider Identifier
1124744404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 613 Towne Park Dr W Ste 103
Rincon, GA 31326-9098 - Phone
- (912) 677-4292
- Fax
- (912) 200-5712
- NPI assigned
- Oct 18, 2022
- 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 | Primary |
Addresses
Primary practice location
613 Towne Park Dr W Ste 103
Rincon, GA 31326-9098
Mailing address
31 Pine View Dr
Bluffton, SC 29910-6807
Phone (912) 677-4292
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FBTC Transitional Sub, LLC | Past | Accepting new patients | |
| Bright Light Behavioral and Developmental Services | 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.
-
- Behavior Analyst
- Ridgeland, SC
- NPI 1568955144
-
- Community/Behavioral Health Agency
- Ridgeland, SC
- NPI 1336868769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1124744404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PINE VIEW DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299106807",
"telephone_number": "912-677-4292",
"fax_number": "912-200-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 TOWNE PARK DR W STE 103",
"city": "RINCON",
"state": "GA",
"postal_code": "313269098",
"telephone_number": "912-677-4292",
"fax_number": "912-200-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA HAMPTON",
"first_name": "RAELYNN",
"middle_name": "M",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.