Individual provider Active NPI

Clynn Joseph Stewarts

  • Behavior Technician
  • Laramie, WY
National Provider Identifier
1801788484
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1575 N 4TH St Ste 105
Laramie, WY 82072-2091
Phone
(307) 212-3284
NPI assigned
Jul 17, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 Primary

Addresses

Primary practice location

1575 N 4TH St Ste 105
Laramie, WY 82072-2091

Mailing address

1575 N 4TH St Ste 105
Laramie, WY 82072-2091
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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Behavioral Services, LLC Behavior Technician CurrentSince Jul 22, 2025 Accepting new patients

Locations

1575 N 4th St
Ste 105
Laramie, WY 82072
Phone (307) 757-7515

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1801788484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 N 4TH ST STE 105",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722091",
            "telephone_number": "307-212-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 N 4TH ST STE 105",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722091",
            "telephone_number": "307-212-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARTS",
        "first_name": "CLYNN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 Jul 17, 2025; 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.