Active NPI
Bethany McFall, RBT
- Behavior Technician
- Palm Coast, FL
National Provider Identifier
1740744739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-75996
- Practice address
- 23 Rybar LN
Palm Coast, FL 32164-6445 - Phone
- (386) 316-3004
- NPI assigned
- Jan 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-75996 | FL | Primary |
Addresses
Primary practice location
23 Rybar LN
Palm Coast, FL 32164-6445
Mailing address
2031 Oak Meadow Cir
South Daytona, FL 32119-8822
Phone (386) 348-1275
Other names 1
- Bethany R Brooks
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-75996 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Independence | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1740744739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 OAK MEADOW CIR",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321198822",
"telephone_number": "386-348-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 RYBAR LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646445",
"telephone_number": "386-316-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFALL",
"first_name": "BETHANY",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2021-10-13",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-75996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETHANY",
"last_name": "BROOKS",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.