Active NPI
Ryan Butler
- Behavior Technician
- Alexandria, VA
National Provider Identifier
1407327125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2847 Duke St
Alexandria, VA 22314-4512 - Phone
- (703) 870-3880
- NPI assigned
- Dec 6, 2018
- Sex
- Male
- 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 | VA | Primary |
Addresses
Primary practice location
2847 Duke St
Alexandria, VA 22314-4512
Mailing address
11290 Lady Jane Loop Apt 102
Manassas, VA 20109-7894
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Other | BEHAVIOR TECHNICIAN | |
| 106S00000X | Other | BEHAVIOR TECHNIICAN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1407327125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11290 LADY JANE LOOP APT 102",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201097894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2847 DUKE ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144512",
"telephone_number": "703-870-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "RYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR TECHNICIAN",
"identifier": "106S00000X",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR TECHNIICAN",
"identifier": "106S00000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.