Individual provider Active NPI

Joshua Swainston, M.ED., BCBA, LBA

  • Behavior Analyst
  • Boise, ID
National Provider Identifier
1629504626
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38313 Issued in NV
Practice address
1404 W Idaho St Ste 101
Boise, ID 83702-5210
Phone
(208) 968-7470
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-33627 NV
Behavior Analyst 103K00000X 1-19-38313 NV Primary

Addresses

Primary practice location

1404 W Idaho St Ste 101
Boise, ID 83702-5210

Mailing address

20457 Stockbridge Way
Caldwell, ID 83605-5533
Phone (702) 335-6102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
RBT-17-33627NVMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Health Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1629504626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20457 STOCKBRIDGE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055533",
            "telephone_number": "702-335-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 W IDAHO ST STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025210",
            "telephone_number": "208-968-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAINSTON",
        "first_name": "JOSHUA",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": "RBT-17-33627",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "1-19-38313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.