Active NPI
Bethany Morgan Nicholson
- Behavior Technician
- Eagle River, AK
National Provider Identifier
1932080595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-478280
- Practice address
- 16941 N Eagle River Loop Rd
Eagle River, AK 99577-7824 - Phone
- (907) 206-4421
- NPI assigned
- Sep 10, 2025
- 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 | RBT-25-478280 | AK | Primary |
Addresses
Primary practice location
16941 N Eagle River Loop Rd
Eagle River, AK 99577-7824
Mailing address
13818 Hunterwood LN
Eagle River, AK 99577-7022
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 |
|---|---|---|---|
| RBT-25-478280 | AK | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1932080595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13818 HUNTERWOOD LN",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16941 N EAGLE RIVER LOOP RD",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777824",
"telephone_number": "907-206-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "BETHANY",
"middle_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-10",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AK",
"license": "RBT-25-478280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.