Individual provider Active NPI

Eva Marie Faust, RBT

  • Behavior Technician
  • Southaven, MS
National Provider Identifier
1780259598
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5779 Getwell Rd Ste 3
Southaven, MS 38672-6347
Phone
(662) 510-6507
Fax
(662) 510-6508
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 MS Primary

Addresses

Primary practice location

5779 Getwell Rd Ste 3
Southaven, MS 38672-6347

Mailing address

5779 Getwell Rd Ste 3
Southaven, MS 38672-6347
Phone (662) 510-6507

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior, Attention, and Developmental Disabilities Consultants, LLC Behavior Technician CurrentSince Jun 22, 2021 Accepting new patients
Xceptional Health & Wellness, PLLC. PastSince Jun 22, 2021 Accepting new patients

Locations

5779 Getwell Rd
Ste 3
Southaven, MS 38672
Phone (662) 510-6507

Organizations & group practices 2

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1780259598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5779 GETWELL RD STE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726347",
            "telephone_number": "662-510-6507",
            "fax_number": "662-510-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5779 GETWELL RD STE 3",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726347",
            "telephone_number": "662-510-6507",
            "fax_number": "662-510-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.