Individual provider Active NPI

Bailee Nicole Dent

  • Behavior Technician
  • Stafford, VA
National Provider Identifier
1669004255
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
11 Hope Rd Ste 215
Stafford, VA 22554-7287
Phone
(866) 311-4617
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

11 Hope Rd Ste 215
Stafford, VA 22554-7287

Mailing address

401 Cobblestone Dr Apt 208
Fredericksburg, VA 22401-6664
Phone (434) 430-0616

Other identifiers 1

IdentifierTypeStateIssuer
1306202940OtherVATRICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bdent@breakthroughbehavior.com Direct BREAKTHROUGH BEHAVIOR, LLC

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

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1669004255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COBBLESTONE DR APT 208",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224016664",
            "telephone_number": "434-430-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOPE RD STE 215",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547287",
            "telephone_number": "866-311-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENT",
        "first_name": "BAILEE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1306202940",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdent@breakthroughbehavior.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "BREAKTHROUGH BEHAVIOR, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11 Hope Rd Ste 215",
            "city": "Stafford",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225547287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.