Individual provider Active NPI

Caleb Reichbaum, RBT

  • Behavior Technician
  • Troy, AL
National Provider Identifier
1710603535
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1080 S Brundidge St
Troy, AL 36081
Phone
(334) 792-5020
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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 AL Primary

Addresses

Primary practice location

1080 S Brundidge St
Troy, AL 36081

Mailing address

1080 S Brundidge St
Troy, AL 36081

Other identifiers 1

IdentifierTypeStateIssuer
22-232336OtherAL22-232336

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@abaassociate.com

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1710603535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 S BRUNDIDGE ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "36081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 S BRUNDIDGE ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "36081",
            "telephone_number": "334-792-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHBAUM",
        "first_name": "CALEB",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "22-232336",
            "identifier": "22-232336",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@abaassociate.com",
            "affiliation": "N",
            "endpointDescription": "info@abaassociate.com",
            "address_1": "1080 S Brundidge St",
            "city": "Troy",
            "state": "AL",
            "country_code": "US",
            "postal_code": "36081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.