Rylie Katherine Heidt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2916 NW Bucklin Hill Rd # 258
Silverdale, WA 98383-8514

Phone

(714) 773-0077

Fax

(714) 773-0067

NPI assigned

Dec 31, 2024

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Sage Behavior Services, Inc

  • Behavior Analyst
  • Fullerton, CA
  • NPI 1598998460

  Behavior Technician

  NPD

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1346059797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E IMPERIAL HWY # 124",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928218513",
            "telephone_number": "714-773-0077",
            "fax_number": "714-773-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 NW BUCKLIN HILL RD # 258",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838514",
            "telephone_number": "714-773-0077",
            "fax_number": "714-773-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDT",
        "first_name": "RYLIE",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Therese Hebda, L.M.H.C.
• Andrea Hefton, MS, LMHC, NPI
• Matthew John Hegewald, DO
• Michael G. Hegewald, M.D.
• Randy L Heibel, D.D.S
• Carole S Heine, LMHC
• Geary A. Heine, M.D,
• Mark R Heinemann, DDS
• Victoria Lynn Heinz, ARNP
• Makinzee Katherine Heitman, DDS

• Behavior Technician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.