Travis Eckman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2460 India Hook Rd Ste 104
Rock Hill, SC 29732-3530

Phone

(803) 366-6250

Fax

(615) 577-5654

NPI assigned

Mar 3, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Turning Point Community Programs

  • Case Management Agency
  • Merced, CA
  • NPI 1154550846
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1851751879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404717",
            "telephone_number": "209-723-6559",
            "fax_number": "209-723-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 INDIA HOOK RD STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323530",
            "telephone_number": "803-366-6250",
            "fax_number": "615-577-5654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 W Main St",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953404717",
            "country_code": "US",
            "telephone_number": "209-723-6559 x2811",
            "fax_number": "209-723-7432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282046300",
            "country_code": "US",
            "telephone_number": "931-505-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKMAN",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Therapeutic Services LLC
• Eagle's Nest Counseling, LLC
• Ear Nose Throat & Audiology Associates
• Ebenezer Road, LLC (Brookdale Ebenezer Road)
• Ebenezer Senior Services, LLC (Agape Rehabilitation of Rock Hill)
• Chelsey Desiree Eddy, PT, DPT
• H. Nelson Eddy, DDS PA
• Joseph Nelson Eddy, DMD
• Julie Eddy
• Kelly Ann Edinger, MS, BCBA

• Behavior Technician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.