Autumn Parsons, RBT – Behavior Technician

Key facts

NPI: 1336715150
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
License: RBT-21-169710
Practice address: 2475 W Chicago St
Rapid City, SD 57702-2467
Phone: (605) 206-5004
Fax: (605) 646-4840
NPI assigned: Jun 2, 2021
Sex: Female
Sole proprietor: No

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.

Black Hills Behavior, LLC Behavior Analyst · Rapid City, SD · NPI 1619442522

NPD (past) BEHAVIOR TECHNICIAN

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Black Hills Behavior, LLC	Behavior Technician	Past since Jun 6, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-21-169710		Yes

Addresses

Primary practice location

2475 W Chicago St
Rapid City, SD 57702-2467

Mailing address

2475 W Chicago St
Rapid City, SD 57702-2467
Phone (605) 206-5004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2021.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1336715150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W CHICAGO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022467",
            "telephone_number": "605-206-5004",
            "fax_number": "605-646-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W CHICAGO ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022467",
            "telephone_number": "605-206-5004",
            "fax_number": "605-646-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "AUTUMN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-21-169710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

All providers in Rapid City, SD · Behavior Technician in South Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.