Bryant Wayne Ragsdale, BCBA 1-16-22908

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-22908 Issued in CO

Practice address

1609 Coopers Cove Rd
Hardy, VA 24101-2505

Phone

(505) 319-8123

NPI assigned

Jun 29, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 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 and National Provider Directory roles.

• Brags Consulting LLC

  • Behavior Analyst
  • Hardy, VA
  • NPI 1790485910
  NPD Authorized official
• Big Wheel ABA LLC.

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1699251793
  NPD (past) Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1578058616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 COOPERS COVE RD",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241012505",
            "telephone_number": "505-319-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 COOPERS COVE RD",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241012505",
            "telephone_number": "505-319-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGSDALE",
        "first_name": "BRYANT",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "BCBA 1-16-22908",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002576",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-16-22908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88-3694357",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Perdue
• Paul Benjamin Poff, LPTA
• Laura Pole, RN, NP, CNS
• Premier Transport LLC
• Principled Behavior Consultants LLC
• Kathy Robbins, MSPT, DPT
• Maggie Crutchfield Robertson, PT, DPT
• Rose Leslie Sachs, LCSW(VA) LCSW-C(MD)
• Amanda Sadzewicz, PHARM.D.
• Sarah Day Sargent, DO

• All providers in Hardy, VA
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.