Individual provider Active NPI

Jayde St. Clair, BCBA

  • Behavior Analyst
  • Cheyenne, WY
National Provider Identifier
1225636780
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-68017 Issued in UT
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

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-20-140204WYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Care Specialists, Inc Behavior Analyst PastSince Oct 1, 2020 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.

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.

Verify at the official NPI Registry.