Active NPI
Kierstyn Talley
- Behavior Technician
- Stafford, VA
National Provider Identifier
1336766955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-124600
- Practice address
- 231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603 - Phone
- (540) 623-4127
- Fax
- (540) 301-2788
- NPI assigned
- Jun 30, 2020
- 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 | RBT-20-124600 | Primary |
Addresses
Primary practice location
231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603
Mailing address
231 Garrisonville Rd Ste 205
Stafford, VA 22554-1603
Phone (540) 623-4127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-124600 | Other | BACB |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1336766955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 GARRISONVILLE RD STE 205",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541603",
"telephone_number": "540-623-4127",
"fax_number": "540-301-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 GARRISONVILLE RD STE 205",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541603",
"telephone_number": "540-623-4127",
"fax_number": "540-301-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLEY",
"first_name": "KIERSTYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-124600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "RBT-20-124600",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.