Active NPI
Molly Persson, RBT
- Behavior Technician
- Columbia, SC
National Provider Identifier
1336809284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-196977
- Practice address
- 1048 Wildwood Centre Dr
Columbia, SC 29229-8420 - Phone
- (706) 842-5330
- Fax
- (706) 842-5340
- NPI assigned
- Dec 20, 2021
- 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-21-196977 | CO | Primary |
Addresses
Primary practice location
1048 Wildwood Centre Dr
Columbia, SC 29229-8420
Mailing address
PO Box 2567
Augusta, GA 30903-2567
Phone (706) 842-5330
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-196977 | CO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1336809284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2567",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309032567",
"telephone_number": "706-842-5330",
"fax_number": "706-842-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1048 WILDWOOD CENTRE DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292298420",
"telephone_number": "706-842-5330",
"fax_number": "706-842-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSSON",
"first_name": "MOLLY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CO",
"license": "RBT-21-196977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.