Active NPI
Taylor Reynolds, RBT
- Behavior Technician
- Springfield, MO
National Provider Identifier
1255147393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB925931
- Practice address
- 1426 E Bradford Pkwy Ste J
Springfield, MO 65804-6884 - Phone
- (417) 324-7777
- NPI assigned
- Dec 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB925931 | MO | Primary |
Addresses
Primary practice location
1426 E Bradford Pkwy Ste J
Springfield, MO 65804-6884
Mailing address
1426 E Bradford Pkwy Ste J
Springfield, MO 65804-6884
Phone (417) 324-7777
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 |
|---|---|---|---|
| BACB925931 | MO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1255147393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1426 E BRADFORD PKWY STE J",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046884",
"telephone_number": "417-324-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1426 E BRADFORD PKWY STE J",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658046884",
"telephone_number": "417-324-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "TAYLOR",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-04",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": "BACB925931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.