Individual provider Active NPI

Hailey Nicole Levis, RBT

  • Behavior Technician
  • Charleston, SC
National Provider Identifier
1205516879
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
8885473431295931
Practice address
1820 1St Dr
Charleston, SC 29407-5756
Phone
(201) 494-6916
Fax
(888) 808-4249
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 8885473431295931 Primary

Addresses

Primary practice location

1820 1St Dr
Charleston, SC 29407-5756

Mailing address

PO Box 80901
Charleston, SC 29416-0901
Phone (201) 494-6916

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1205516879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80901",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160901",
            "telephone_number": "201-494-6916",
            "fax_number": "888-808-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 1ST DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075756",
            "telephone_number": "201-494-6916",
            "fax_number": "888-808-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIS",
        "first_name": "HAILEY",
        "middle_name": "NICOLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "8885473431295931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.