Active NPI
Benjamin Stansfield Fox
- Behavior Technician
- Paullina, IA
National Provider Identifier
1841990280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT23-262139
- Practice address
- 122 S Rutledge St
Paullina, IA 51046-7822 - Phone
- (763) 528-3110
- NPI assigned
- Mar 6, 2023
- Last updated
- Mar 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | RBT23-262139 | IA | Primary |
Addresses
Primary practice location
122 S Rutledge St
Paullina, IA 51046-7822
Mailing address
PO Box 51
Paullina, IA 51046-0051
Phone (763) 528-3110
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT23-262139 | IA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1841990280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51",
"city": "PAULLINA",
"state": "IA",
"postal_code": "510460051",
"telephone_number": "763-528-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S RUTLEDGE ST",
"city": "PAULLINA",
"state": "IA",
"postal_code": "510467822",
"telephone_number": "763-528-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "BENJAMIN",
"middle_name": "STANSFIELD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IA",
"license": "RBT23-262139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paullina, IA
- Aberson Consulting LLC
- Timothy Todd Aberson, DC
- Barama Drug of Paullina Inc (Barama Drug)
- Baum Harmon Mercy Hospital (MercyOne Paullina Family Medicine)
- City of Paullina (Paullina Ambulance Service)
- Kelsey Elaine Kruse, MA, LPC, LPCMH, LMHC
- Leah Maier
- Terry B Morris, RPH
- Orange City Municipal Hospital (MillCreek Family Practice)
- Amanda J Rausch, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.