Active NPI
Rayne Trouwborst
- Behavior Analyst
- Glen Burnie, MD
National Provider Identifier
1669023081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-49852
- Practice address
- 8072 Green Bud LN Apt 21
Glen Burnie, MD 21061-5161 - Phone
- (732) 513-9164
- NPI assigned
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-49852 | MD | Primary |
Addresses
Primary practice location
8072 Green Bud LN Apt 21
Glen Burnie, MD 21061-5161
Mailing address
8072 Green Bud LN Apt 21
Glen Burnie, MD 21061-5161
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": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1669023081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8072 GREEN BUD LN APT 21",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8072 GREEN BUD LN APT 21",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615161",
"telephone_number": "732-513-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUWBORST",
"first_name": "RAYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MD",
"license": "1-21-49852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.