Active NPI
Haley Borgaila
- Behavior Technician
- Lincoln, NE
National Provider Identifier
1336889229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-203669
- Practice address
- 3410 N 75TH St # NE
Lincoln, NE 68507-2142 - Phone
- (712) 828-1721
- NPI assigned
- Mar 30, 2022
- 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-22-203669 | NE | Primary |
Addresses
Primary practice location
3410 N 75TH St # NE
Lincoln, NE 68507-2142
Mailing address
157 S Howard St Ste 310
Spokane, WA 99201-4421
Phone (509) 494-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-22-203669 | Other | NE | RBT |
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-22-203669 | NE | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1336889229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 S HOWARD ST STE 310",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014421",
"telephone_number": "509-494-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 N 75TH ST # NE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685072142",
"telephone_number": "712-828-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGAILA",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "RBT-22-203669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-22-203669",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.