Bailey Wolfe

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

738 S Bridgeway PL Ste 150
Eagle, ID 83616-6953

Phone

(208) 908-0120

NPI assigned

Jan 6, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1508570342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10198 W GARVERDALE LN APT 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048044",
            "telephone_number": "208-995-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 S BRIDGEWAY PL STE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166953",
            "telephone_number": "208-908-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "BAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://centralreach.com/",
            "affiliation": "N",
            "endpointDescription": "Central Reach ABA Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "738 S Bridgeway Pl Ste 150",
            "city": "Eagle",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836166953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Elizabeth Williams, S.L.P
• Malisa Williams, LCSW
• Taylor N Williams, DPT LICENSE: PT-6769
• Sasha Windfield
• Emily R. Wolf, LMFT
• Noreen A. Womack, MD
• Allen Wong, MD
• Brian Wong
• Cynthia Woodhouse, MPT
• Natalie Woods

• Behavior Technician in Eagle, ID
• Providers in Eagle, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.