Abigail Alicia Rautter

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

130 Corridor Rd Unit 3292
Ponte Vedra Beach, FL 32004-7833

Phone

(904) 638-6388

NPI assigned

Jul 11, 2024

Sex

Female

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

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.

• Nocal Behavioral Services LLC

  • Behavior Analyst
  • Ponte Vedra, FL
  • NPI 1184084782
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1417794041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CORRIDOR RD # 3929",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320047850",
            "telephone_number": "904-638-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CORRIDOR RD UNIT 3292",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320047833",
            "telephone_number": "904-638-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUTTER",
        "first_name": "ABIGAIL",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Timothy Radel, D.M.D., M.S.
• Radiant Horizons Counseling, P.L.L.C.
• Olivia A Raines, LCSW
• Melissa H Rammage, PHARMD
• Ronald Ralph Rapaport, RPH, CPH
• Emily Anne Reagor, OTD, OTR/L
• Recovery Keys, Inc
• Recovery Keys, Inc
• Recovery Keys, Inc
• Mary C Rellahan, DPM

• Behavior Technician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.