Individual provider Active NPI

Raziah Izard

  • Behavior Technician
  • Wichita, KS
National Provider Identifier
1962212993
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1109 S Rock Rd
Wichita, KS 67207-3317
Phone
(917) 801-7015
NPI assigned
Jan 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 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

1109 S Rock Rd
Wichita, KS 67207-3317

Mailing address

825 Georges Rd
North Brunswick, NJ 08902-3357

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
Blooming Horizons, LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

1109 S Rock Rd
Wichita, KS 67207
Phone (917) 801-7015

825 Georges Rd
North Brunswick, NJ 08902
Phone (732) 828-8244

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": "1736553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1962212993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 GEORGES RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073317",
            "telephone_number": "917-801-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZARD",
        "first_name": "RAZIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-11",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.