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MISSOURI SOUTHERN STATE UNIVERSITY NPI 1215532775


NPI Information

NPI: 1215532775
Provider Name: MISSOURI SOUTHERN STATE UNIVERSITY
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 26D2226063

Address:
3950 NEWMAN RD
JOPLIN, MO
ZIP 64801
Phone: (417) 625-9600
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MISSOURI SOUTHERN STATE UNIVERSITY is a behavior analyst in Joplin, MO. 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. MISSOURI SOUTHERN STATE UNIVERSITY NPI is 1215532775. The provider is registered as an organization entity type.

The provider's business location address is:

3950 NEWMAN RD
JOPLIN, MO
ZIP 64801-512
Phone: (417) 625-9600

The provider's authorized official is Ayla Schmick .
The authorized official title is Acacia Center Director and has the following contact phone number (175) 625-3090.

The CLIA number assigned to this NPI record is 26D2226063 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2020 and was last updated on 9/25/2023.


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
1261QP0905XClinic/CenterPublic Health, State or LocalNo
2103K00000XBehavior AnalystYes

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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