Isaiah Haxton Prevatt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

25-412369 Issued in AL

Practice address

100 Spenryn Dr
Madison, AL 35758-1890

Phone

(256) 772-4400

NPI assigned

Feb 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Applied Behavioral Concepts

  • Clinic/Center
  • Madison, AL
  • NPI 1710755871
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1700683034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPENRYN DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581890",
            "telephone_number": "256-772-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVATT",
        "first_name": "ISAIAH",
        "middle_name": "HAXTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "25-412369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "25-412369",
            "identifier": "25-412369",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "loredumb655@gmail.com",
            "affiliation": "N",
            "endpointDescription": "loredumb655@gmail.com",
            "address_1": "100 Spenryn Dr",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "357581890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Precious Smiles Family Dentistry LLC
• Precision Psychiatric Services LLC
• Premier Group LLC
• Premiere Dental Spa at Madison
• Premise Health of Alabama Medical PC
• Sarah Elizabeth Price, CCC-SLP
• Todd K Pridmore, CRNP
• Taylor L Pritchett, RBT
• Progressivehealth Healthspot, LLC
• Tommy Scott Pruitt, RPT

• Behavior Technician in Madison, AL
• Providers in Madison, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.