Active NPI
Kade Vilbig, BA
- Behavior Technician
- Idaho Falls, ID
National Provider Identifier
1134859754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 255 E St Apt 104
Idaho Falls, ID 83402-3526 - Phone
- (208) 243-5173
- NPI assigned
- Jun 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Developmental Therapist | 222Q00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
255 E St Apt 104
Idaho Falls, ID 83402-3526
Mailing address
809 S 4TH Ave Apt 4
Pocatello, ID 83201-6619
Phone (208) 243-5173
Other names 1
- Mrs. Alexandria Vilbig
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1134859754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 S 4TH AVE APT 4",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832016619",
"telephone_number": "208-243-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E ST APT 104",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023526",
"telephone_number": "208-243-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILBIG",
"first_name": "KADE",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2024-02-12",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDRIA",
"last_name": "VILBIG",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.