Active NPI
Mikayla N Hauck
- Behavior Technician
- Papillion, NE
National Provider Identifier
1821564550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1223 Golden Gate Dr
Papillion, NE 68046-2837 - Phone
- (402) 916-4539
- NPI assigned
- Oct 20, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1223 Golden Gate Dr
Papillion, NE 68046-2837
Mailing address
1223 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 916-4539
Other practice location 1
21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345
Other practice location 2
945 N Adams St Ste 7
Papillion, NE 68046-3111
Phone (402) 916-4539
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | terri@caskids.org | Direct |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childhood Autism Services Inc | 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.
-
- Community/Behavioral Health Agency
- La Vista, NE
- NPI 1730473117
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1821564550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 GOLDEN GATE DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462837",
"telephone_number": "402-916-4539",
"fax_number": "402-403-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 GOLDEN GATE DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680462837",
"telephone_number": "402-916-4539"
}
],
"practiceLocations": [
{
"address_1": "21600 Oxnard St Ste 1800",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913677807",
"country_code": "US",
"telephone_number": "818-345-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 N Adams St Ste 7",
"address_purpose": "LOCATION",
"city": "Papillion",
"state": "NE",
"postal_code": "680463111",
"country_code": "US",
"telephone_number": "402-916-4539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUCK",
"first_name": "MIKAYLA",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-20",
"last_updated": "2024-09-05",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "terri@caskids.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8610 Brentwood Dr",
"city": "LA Vista",
"state": "NE",
"country_code": "US",
"postal_code": "681283377",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.