Arlitta Rae Longacre

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1350 Johnson PL
Idaho Falls, ID 83401-3063

Phone

(208) 521-6124

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1396411724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 JOHNSON PL",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013063",
            "telephone_number": "208-521-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 JOHNSON PL",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013063",
            "telephone_number": "208-521-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGACRE",
        "first_name": "ARLITTA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "community",
            "affiliation": "N",
            "endpointDescription": "community",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "community",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "community",
            "address_1": "1350 Johnson Pl",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834013063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Long, RD, LD
• Brittany Long, M.S., CCC-SLP
• Michael Thomas Long, DO
• Nathan D Long, OTR/L
• Nicole Diane Long, FNP-C
• Linda B Lopez, LCSW
• Maria R Lora, BS
• Craig B Lords, D.C.
• Perry Rex Lords, OTR/L
• Lost River Counseling PLLC

• Behavior Technician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Behavior Technician in Idaho

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

Verify at the official NPI Registry.