Individual provider Active NPI

Bryce Nash

  • Behavior Technician
  • Marion, IN
National Provider Identifier
1174332506
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3340 S Lincoln Blvd
Marion, IN 46953-4501
Phone
(765) 661-9709
Fax
(765) 573-6769
NPI assigned
Dec 31, 2024
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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 NU Primary

Addresses

Primary practice location

3340 S Lincoln Blvd
Marion, IN 46953-4501

Mailing address

3340 S Lincoln Blvd
Marion, IN 46953-4501
Phone (765) 661-9709

Other practice location 1

277 N Thorne St
Wabash, IN 46992-2327
Phone (765) 661-9709

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

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1174332506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 S LINCOLN BLVD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534501",
            "telephone_number": "765-661-9709",
            "fax_number": "765-573-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 S LINCOLN BLVD",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534501",
            "telephone_number": "765-661-9709",
            "fax_number": "765-573-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 N Thorne St",
            "address_purpose": "LOCATION",
            "city": "Wabash",
            "state": "IN",
            "postal_code": "469922327",
            "country_code": "US",
            "telephone_number": "765-661-9709",
            "fax_number": "765-573-6769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "BRYCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.