Individual provider Active NPI

Carly Shay Bjorklund, RBT

  • Behavior Technician
  • Laramie, WY
National Provider Identifier
1770419103
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
26-542135 Issued in WY
Practice address
1575 N 4TH St
Laramie, WY 82072-2091
Phone
(307) 212-3284
Fax
(307) 212-3284
NPI assigned
Jun 23, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 26-542135 WY Primary

Addresses

Primary practice location

1575 N 4TH St
Laramie, WY 82072-2091

Mailing address

605 30TH St Apt 6201
Laramie, WY 82070-5170
Phone (307) 212-3284

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": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1770419103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 30TH ST APT 6201",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705170",
            "telephone_number": "307-212-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 4TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722091",
            "telephone_number": "307-212-3284",
            "fax_number": "307-212-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORKLUND",
        "first_name": "CARLY",
        "middle_name": "SHAY",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WY",
            "license": "26-542135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.