Individual provider Active NPI

Raelynn M Padilla Hampton, RBT

  • Behavior Technician
  • Rincon, GA
National Provider Identifier
1124744404
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
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

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
FBTC Transitional Sub, LLC PastSince Oct 23, 2022 Accepting new patients
Bright Light Behavioral and Developmental Services PastSince Oct 23, 2022 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": "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.

Verify at the official NPI Registry.