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Deactivated NPI 1790256410 Deactivated / Inactive NPI Male Practitioner

Micah Bacoch , RBT

Behavior Technician • Bishop, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Micah Bacoch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2018
NPI Deactivation Date October 13, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Micah Bacoch, RBT was a registered Behavior Technician practicing in Bishop, CA. Throughout an active medical career spanning 5 years, Micah Bacoch provided care at the practice location at 568 CENTRAL AVE until profile deactivation on 2023-10-13.

Practice Location & Contact Primary Location

Practice Address

568 Central Ave

Bishop, CA 935142702

Telephone 7602828081
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Bishop, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Bishop, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License None RBT-18-67530

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Sarah Rogers

Behavior Technician

NPI 1104425032
Andrea Sosa

Behavior Technician

NPI 1114526043
Rebekah Armstrong , RBT

Behavior Technician

NPI 1144791864

Registered Behavior Technician

Lindsay Pratt , RBT

Behavior Technician

NPI 1225678196

Registered Behavior Technician

Sara Mcneely , RBT

Behavior Technician

NPI 1346880218

Registered Behavior Technician

Aurelio Lopez , RBT

Behavior Technician

NPI 1417597378

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 13, 2023

Record deactivated on October 13, 2023

NPI Profile Active December 06, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2018

Registered at 568 CENTRAL AVE, BISHOP, CA 935142702 (Tel: 7602828081)

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Updated Business Mailing Address December 06, 2018

Registered at 568 CENTRAL AVE, BISHOP, CA 935142702 (Tel: 7602828081)

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Provider Name / Credentials Updated December 06, 2018

Recorded as MICAH BACOCH, RBT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2018

Behavior Technician (License #RBT-18-67530 in None)

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Initial NPI Registration & Enumeration December 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790256410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2018
Last Update: December 06, 2018
Deactivation Date: October 13, 2023

Mailing Address

568 Central Ave

Bishop, CA 935142702

Phone: 7602828081

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.