Active NPI
Shay Irwin Bjelland, BA
- Behavior Technician
- Tempe, AZ
National Provider Identifier
1982483590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-245439
- Practice address
- 5301 S McClintock Dr
Tempe, AZ 85283-2234 - Phone
- (602) 291-9375
- NPI assigned
- Sep 22, 2023
- Sex
- Male
- 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-22-245439 | AZ | Primary |
Addresses
Primary practice location
5301 S McClintock Dr
Tempe, AZ 85283-2234
Mailing address
3159 E Morenci Rd
San Tan Valley, AZ 85143-4557
Phone (623) 277-6527
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-245439 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1982483590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 E MORENCI RD",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851434557",
"telephone_number": "623-277-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 S MCCLINTOCK DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852832234",
"telephone_number": "602-291-9375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJELLAND",
"first_name": "SHAY",
"middle_name": "IRWIN",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AZ",
"license": "RBT-22-245439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.