NPI 1619442522 · live from the CMS NPI Registry
Black Hills Behavior, LLC
Behavior Analyst in Rapid City, SD. National Provider Identifier 1619442522, active.
NPI record
| NPI | 1619442522 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 621 N Creek Dr, Rapid City, SD 57703 |
| Practice phone | 605-206-5004 |
| Enumerated | October 6, 2018 |
| Last updated | August 18, 2024 |
| Authorized official | Nancy Pruitt, Owner |
| Other names | Impact Learning & Development |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Technician | 106S00000X | — |
| Physical Therapist | 225100000X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Physical Therapy Assistant | 225200000X | — |
| Occupational Therapist | 225X00000X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Specialist/Technologist, Speech-Language Assistant | 2355S0801X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.