Payton Gatlin, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

17-34735 Issued in TX

Practice address

11718 Metric Blvd BLDG a
Austin, TX 78758-3203

Phone

(512) 265-3615

Fax

(512) 572-8607

NPI assigned

Aug 8, 2020

Last updated

Aug 8, 2020By the provider in NPPES

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

Other identifiers 1

Other names 1

• Payton Stephenson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Behavioral Edge LLC

  dba The Behavioral Edge

  • Behavior Analyst
  • Oklahoma City, OK
  • NPI 1295509602
  NPD (past)

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1487264941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SAN FELIPE ST STE 990",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631708",
            "telephone_number": "512-265-3615",
            "fax_number": "512-572-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11718 METRIC BLVD BLDG A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583203",
            "telephone_number": "512-265-3615",
            "fax_number": "512-572-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "PAYTON",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "17-34735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "17-34735",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bluesprigautims.com",
            "affiliation": "N",
            "address_1": "11718 Metric Blvd Bldg A",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787583203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAYTON",
            "last_name": "STEPHENSON",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Gathman
• Melissa Gathright, LCSW-S
• Erma Gatica, PMHNP-BC
• Lily Gatica, LMFT
• Rosa Gatica
• Juliet Makena Gatobu, APRN
• Gator PA 1St Assist, LLC
• Barclay Burdette Gatten
• Cathy E. Gattuso, LCSW, BCD, P.C.
• Aline Gaubert, L.P.C., L.C.D.C.

• Behavior Technician in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; 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.