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BLACK HILLS BEHAVIOR LLC NPI 1619442522


NPI Information

NPI: 1619442522
Provider Name: BLACK HILLS BEHAVIOR, LLC

Doing Business As: IMPACT LEARNING & DEVELOPMENT

Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
2475 W CHICAGO ST
RAPID CITY, SD
ZIP 57702
Phone: (605) 206-5004
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BLACK HILLS BEHAVIOR, LLC is a behavior analyst in Rapid City, SD. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. BLACK HILLS BEHAVIOR, LLC NPI is 1619442522. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Impact Learning & Development.

The provider's business location address is:

2475 W CHICAGO ST
RAPID CITY, SD
ZIP 57702-467
Phone: (605) 206-5004
Fax: (605) 646-4840

The provider's authorized official is Nancy L Pruitt .
The authorized official title is Owner and has the following contact phone number (605) 206-5004.

The enumeration date for this NPI number is 10/6/2018 and was last updated on 4/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1224Z00000XOccupational Therapy AssistantNo
2225100000XPhysical TherapistNo
32251P0200XPhysical TherapistPediatricsNo
4225200000XPhysical Therapy AssistantNo
5225X00000XOccupational TherapistNo
6225XP0200XOccupational TherapistPediatricsNo
72355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
8235Z00000XSpeech-Language PathologistNo
9103K00000XBehavior AnalystYes
10106E00000XAssistant Behavior AnalystNo
11106S00000XBehavior TechnicianNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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