Individual provider Active NPI

Payton Young, RBT

  • Behavior Technician
  • San Angelo, TX
National Provider Identifier
1376209643
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-192294 Issued in TX
Practice address
136 E Concho Ave
San Angelo, TX 76903-5947
Phone
(325) 777-2727
Fax
(325) 777-2737
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-192294 TX Primary

Addresses

Primary practice location

136 E Concho Ave
San Angelo, TX 76903-5947

Mailing address

136 E Concho Ave
San Angelo, TX 76903-5947
Phone (325) 777-2727

Other practice location 1

1702 W Avenue N
San Angelo, TX 76904-4630
Phone (325) 777-2727

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

LicenseStateTypeSpecialty
RBT-21-192294TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1376209643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035947",
            "telephone_number": "325-777-2727",
            "fax_number": "325-777-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E CONCHO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035947",
            "telephone_number": "325-777-2727",
            "fax_number": "325-777-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 W Avenue N",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769044630",
            "country_code": "US",
            "telephone_number": "325-777-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PAYTON",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-21-192294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.