Individual provider Active NPI

Raschard Deberry, RBT

  • Behavior Technician
  • Mobile, AL
National Provider Identifier
1780452748
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-317498 Issued in AL
Practice address
820 S University Blvd Ste 2H
Mobile, AL 36609-7860
Phone
(251) 340-2020
Fax
(251) 340-2067
NPI assigned
Dec 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 RBT-23-317498 AL Primary

Addresses

Primary practice location

820 S University Blvd Ste 2H
Mobile, AL 36609-7860

Mailing address

820 S University Blvd Ste 2H
Mobile, AL 36609-7860
Phone (251) 340-2020

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
RBT-23-317498ALMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Butterfly Effects Behavior Technician Current 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": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1780452748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD STE 2H",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097860",
            "telephone_number": "251-340-2020",
            "fax_number": "251-340-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD STE 2H",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097860",
            "telephone_number": "251-340-2020",
            "fax_number": "251-340-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBERRY",
        "first_name": "RASCHARD",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-23-317498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.