Active NPI
Andrew Law
- Behavior Technician
- Bozeman, MT
National Provider Identifier
1376003244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-89109
- Practice address
- 1039 Stoneridge Dr
Bozeman, MT 59718-7056 - Phone
- (406) 624-6599
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 19-89109 | MT | Primary |
Addresses
Primary practice location
1039 Stoneridge Dr
Bozeman, MT 59718-7056
Mailing address
1039 Stoneridge Dr
Bozeman, MT 59718-7056
Phone (406) 624-6599
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 |
|---|---|---|---|
| 19-89109 | MT | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Academy | Behavior Technician | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1376003244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 STONERIDGE DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187056",
"telephone_number": "406-624-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 STONERIDGE DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187056",
"telephone_number": "406-624-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAW",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MT",
"license": "19-89109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.