Blended Aquatics LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLENDED AQUATICS LLC

Practice address

265 Federal Ave Apt 24
Rapid City, SD 57702-2463

Phone

(952) 212-0294

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Breanna Merhar, MA, BCBANPI 1639790421

Title

Co- Founder/ Bcba

Phone

(952) 212-0294

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Breanna Merhar, MA, BCBA

  • Behavior Analyst
  • Rapid City, SD
  • NPI 1639790421
  NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1487376331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FEDERAL AVE APT 24",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022463",
            "telephone_number": "952-212-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FEDERAL AVE APT 24",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022463",
            "telephone_number": "952-212-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLENDED AQUATICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "MERHAR",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CO- FOUNDER/ BCBA",
        "authorized_official_telephone_number": "952-212-0294",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Community/Behavioral Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.