Active NPI
Jayde St. Clair, BCBA
- Behavior Analyst
- Cheyenne, WY
National Provider Identifier
1225636780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-68017
- Practice address
- 1704 Westland Rd
Cheyenne, WY 82001-3322 - Phone
- (307) 222-2400
- Fax
- (605) 271-3956
- NPI assigned
- Oct 15, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-68017 | UT | Primary |
| Behavior Technician | 106S00000X | RBT-20-140204 | WY |
Addresses
Primary practice location
1704 Westland Rd
Cheyenne, WY 82001-3322
Mailing address
2804 E. 26TH St.
Suite 1
Sioux Falls, SD 57103-4019
Phone (605) 271-2690
Other practice location 1
945 Pendell Blvd.
Mills, WY 82644-1916
Phone (307) 215-1032
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-140204 | WY | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Care Specialists, Inc | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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
- Sioux Falls, SD
- NPI 1336427392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1225636780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 E. 26TH ST.",
"address_2": "SUITE 1",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571034019",
"telephone_number": "605-271-2690",
"fax_number": "605-271-3956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 WESTLAND RD",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013322",
"telephone_number": "307-222-2400",
"fax_number": "605-271-3956"
}
],
"practiceLocations": [
{
"address_1": "945 Pendell Blvd.",
"address_purpose": "LOCATION",
"city": "Mills",
"state": "WY",
"postal_code": "826441916",
"country_code": "US",
"telephone_number": "307-215-1032",
"fax_number": "605-271-3956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST. CLAIR",
"first_name": "JAYDE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "UT",
"license": "1-23-68017",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WY",
"license": "RBT-20-140204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.