Pinnacle Behavior Solutions, LLC.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19964 Issued in WY

Legal business name

PINNACLE BEHAVIOR SOLUTIONS, LLC.

Practice address

125 Indian Lookout Dr
Lander, WY 82520-3057

Phone

(307) 438-1039

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Jacobs, M.S., BCBANPI 1508219890

Title

Owner

Phone

(307) 438-1039

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Jacobs, M.S., BCBA

  • Behavior Analyst
  • Lander, WY
  • NPI 1508219890
  NPD (past) Authorized official

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1487007969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 INDIAN LOOKOUT DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203057",
            "telephone_number": "307-438-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INDIAN LOOKOUT DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203057",
            "telephone_number": "307-438-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE BEHAVIOR SOLUTIONS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-438-1039",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WY",
            "license": "PTSB63527",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WY",
            "license": "1-15-19964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Petro, FNP-BC
• Tras Steven Pfeifer, PA-C, MPAS
• Royce James Philpott, PHARMD, RPH
• Douglas Rex Phipps, M.D.
• Megan Pince
• Steven John Platz, PA-C
• Stacey Polson, MS, LPC, NBCC
• Popo Agie Women's Clinic, Inc
• Cheryl C Portwood, M.D.
• Julian Poush

• Behavior Analyst in Lander, WY
• Providers in Lander, WY by specialty
• Behavior Analyst in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.