Active NPI
Charity Marie Symonds, BCBA
- Behavior Analyst
- Great Falls, MT
National Provider Identifier
1972290450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- PSY-BA-LIC-4528
- Practice address
- 600 6TH St NW Ste 9
Great Falls, MT 59404-2449 - Phone
- (661) 902-9114
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- 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 Analyst | 103K00000X | PSY-BA-LIC-4528 | MT | Primary |
Addresses
Primary practice location
600 6TH St NW Ste 9
Great Falls, MT 59404-2449
Mailing address
600 6TH St NW Ste 9
Great Falls, MT 59404-2449
Phone (661) 902-9114
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 |
|---|---|---|---|
| PSY-BA-LIC-4528 | MT | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Inc | Behavior Analyst | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1972290450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 6TH ST NW STE 9",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594042449",
"telephone_number": "661-902-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 6TH ST NW STE 9",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594042449",
"telephone_number": "661-902-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYMONDS",
"first_name": "CHARITY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MT",
"license": "PSY-BA-LIC-4528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.