Active NPI
Smile Junalilz Baluran Lucero, BCBA
- Behavior Analyst
- Kansas City, MO
National Provider Identifier
1003472275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2019013854
- Practice address
- 10330 Hickman Mills Dr
Kansas City, MO 64137-1618 - Phone
- (816) 501-5138
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 220 | KS | |
| Behavior Analyst | 103K00000X | 2019013854 | MO | Primary |
Addresses
Primary practice location
10330 Hickman Mills Dr
Kansas City, MO 64137-1618
Mailing address
10330 Hickman Mills Dr
Kansas City, MO 64137-1618
Phone (816) 501-5138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019013854 | Other | MO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019013854 | MO | MD | Behavioral Analyst |
| 220 | KS | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1003472275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 HICKMAN MILLS DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641371618",
"telephone_number": "816-501-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10330 HICKMAN MILLS DR",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641371618",
"telephone_number": "816-501-5138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCERO",
"first_name": "SMILE JUNALILZ",
"middle_name": "BALURAN",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KS",
"license": "220",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2019013854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2019013854",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.