Active NPI
Tucker Seifert
- Behavior Technician
- Rogers, AR
National Provider Identifier
1467061069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-117158
- Practice address
- 1704 W Industrial Dr
Rogers, AR 72756-2492 - Phone
- (479) 439-6906
- NPI assigned
- Jul 29, 2020
- 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 | RBT-20-117158 | Primary |
Addresses
Primary practice location
1704 W Industrial Dr
Rogers, AR 72756-2492
Mailing address
1704 W Industrial Dr
Rogers, AR 72756-2492
Other practice location 1
2625 Townsgate Rd Ste 102
Thousand Oaks, CA 91361-5751
Phone (805) 413-3009
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": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1467061069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 W INDUSTRIAL DR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727562492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 W INDUSTRIAL DR",
"city": "ROGERS",
"state": "AR",
"postal_code": "727562492",
"telephone_number": "479-439-6906"
}
],
"practiceLocations": [
{
"address_1": "2625 Townsgate Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913615751",
"country_code": "US",
"telephone_number": "805-413-3009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEIFERT",
"first_name": "TUCKER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2021-05-10",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-117158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.