Individual provider Active NPI

Payton Lynn Hostetler, BCBA

  • Behavior Analyst
  • Sioux Center, IA
National Provider Identifier
1316753544
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-77385 Issued in SD
Practice address
601 4TH Avenue SE
Sioux Center, IA 51250-1671
Phone
(712) 722-6951
NPI assigned
Dec 3, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-24-77385 SD Primary

Addresses

Primary practice location

601 4TH Avenue SE
Sioux Center, IA 51250-1671

Mailing address

700 7TH St NE
Sioux Center, IA 51250-1671
Phone (712) 722-6951

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dordt University Behavior Analyst CurrentSince Dec 8, 2024 Accepting new patients
Rise ABA LLC Behavior Analyst Past Accepting new patients

Locations

700 7th St NE
Sioux Center, IA 51250
Phone (562) 746-6740

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1316753544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 7TH ST NE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501671",
            "telephone_number": "712-722-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 4TH AVENUE SE",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512501671",
            "telephone_number": "712-722-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETLER",
        "first_name": "PAYTON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SD",
            "license": "1-24-77385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Center, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.