PROSPERA HEALTHCARE WYOMING LLC
NPI 1215671185
Behavior Analyst in Casper, WY

NPI Status: Active since April 26, 2022

Contact Information

312 W 2ND ST # 2037
CASPER, WY
ZIP 82601
Phone: (972) 900-2488
Fax: (972) 600-2835

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  • Organization
  • Behavior Analyst

About PROSPERA HEALTHCARE WYOMING LLC

This page provides the complete NPI Profile along with additional information for Prospera Healthcare Wyoming Llc, a provider established in Casper, Wyoming operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1215671185 assigned on April 2022. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Chris Tillotson (Ceo)

NPI
1215671185
Provider Name
PROSPERA HEALTHCARE WYOMING LLC
Entity Type
Organization
Location Address
312 W 2ND ST # 2037 CASPER, WY 82601
Location Phone
(972) 900-2488
Location Fax
(972) 600-2835
Mailing Address
312 W 2ND ST # 2037 CASPER, WY 82601
Mailing Phone
(972) 900-2488
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-26-2022
Last Update Date
04-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRIS TILLOTSON

Authorized Official Title
CEO
Authorized Official Phone
(972) 900-2488

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215671185
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251272116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 7 + 2 + 1 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1215671185 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215671185, enumerated as an "organization" on April 26, 2022.

The provider is located at 312 W 2ND ST # 2037 CASPER, WY 82601 and the phone number is (972) 900-2488.

Behavior Analyst with taxonomy code 103K00000X.