NPI 1225636780 · live from the CMS NPI Registry
Jayde St. Clair, BCBA
Behavior Analyst in Cheyenne, WY. National Provider Identifier 1225636780, active.
NPI record
| NPI | 1225636780 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1704 Westland Rd, Cheyenne, WY 82001 |
| Practice phone | 307-222-2400 |
| Mailing address | 2804 E. 26th St., Suite 1, Sioux Falls, SD 57103 |
| Enumerated | October 15, 2020 |
| Last updated | September 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-23-68017 (UT) |
| Behavior Technician | 106S00000X | RBT-20-140204 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.