Angel Dailey, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-210251 Issued in ND

Practice address

1015 S Broadway Ste 16
Minot, ND 58701-4667

Phone

(352) 818-3609

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Behavior Support LLC

  dba Total Behavior Support

  • Behavior Analyst
  • Minot, ND
  • NPI 1518541713
  NPD

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1285375295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY STE 15",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY STE 16",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "352-818-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "ANGEL",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ND",
            "license": "RBT-22-210251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Minot",
            "affiliation": "N",
            "address_1": "1015 S Broadway Ste 16",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587014667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassandra Czerwonka, CASE MANAGER
• Rafael Carlos Da Silva, MD
• Amanda Daggett, PMHNP
• Mary Dahly, MS
• Rebecca Dawn Daigneault, LCSW
• Dakota Boys & Girls Ranch Association
• Dakota Boys & Girls Ranch Association (Dakota Boys Ranch Minot RTC)
• Dakota Boys & Girls Ranch Association (Dakota Boys & Girls Ranch RCCF)
• Dakota Chiropractic PLLC
• Dakota College at Bottineau

• Behavior Technician in Minot, ND
• Providers in Minot, ND by specialty
• Behavior Technician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.