Individual provider Active NPI

Risley Linder Jr., BCBA

  • Behavior Analyst
  • Columbia, SC
National Provider Identifier
1720600661
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-26986 Issued in NU
Practice address
2003 Greene St Apt 105
Columbia, SC 29205-1638
Phone
(803) 467-2996
NPI assigned
May 14, 2020
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X WP8917 SC
Behavior Analyst 103K00000X 1-17-26986 NU Primary

Addresses

Primary practice location

2003 Greene St Apt 105
Columbia, SC 29205-1638

Mailing address

PO Box 5502
Columbia, SC 29250-5502
Phone (803) 467-2996

Other identifiers 2

IdentifierTypeStateIssuer
WP8917MedicaidSC
1-17-26986OtherBEHAVIOR ANALYST CERTIFICATION BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ley@crescentbehavioralhealth.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
WP8917SCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Behavioral Health Services, LLC. Behavior Analyst Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1720600661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5502",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505502",
            "telephone_number": "803-467-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GREENE ST APT 105",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292051638",
            "telephone_number": "803-467-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "RISLEY",
        "name_suffix": "Jr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "WP8917",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-17-26986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WP8917",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-17-26986",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ley@crescentbehavioralhealth.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2003 Greene St Apt 105",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292051638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.