NPIMap

Organization Active NPI

Aerie Behavioral Services, LLC

  • Behavior Analyst
  • Pinedale, WY
National Provider Identifier
1306534342
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AERIE BEHAVIORAL SERVICES, LLC
Practice address
111 Mill Street
Pinedale, WY 82941
Phone
(307) 360-3306
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Karly Majhanovich, BCBA, LBANPI 1154037638
Title
Owner/Bcba
Phone
(307) 360-3306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

111 Mill Street
Pinedale, WY 82941

Mailing address

PO Box 2358
343 N. Fremont Ave.
Pinedale, WY 82941-2358
Phone (307) 360-3306

Other names 1

  • Aerie Behavioral Services, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1306534342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2358",
            "address_2": "343 N. FREMONT AVE.",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "829412358",
            "telephone_number": "307-360-3306",
            "fax_number": "307-203-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MILL STREET",
            "city": "PINEDALE",
            "state": "WY",
            "postal_code": "82941",
            "telephone_number": "307-360-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERIE BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MAJHANOVICH",
        "authorized_official_first_name": "KARLY",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "307-360-3306",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aerie Behavioral Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aerie Behavioral Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinedale, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.