Alice Marie Blyth, MA, LPC, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2012010600 Issued in MO

Practice address

3403 N Belton Ave
Riverside, MO 64150-9502

Phone

(816) 863-4542

NPI assigned

Apr 15, 2012

Last updated

Apr 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Turning Point, Inc

  • Community/Behavioral Health Agency
  • Riverside, MO
  • NPI 1609198043
  Authorized official Same address or phone
• Summit Behavioral Services, LLC

  • Assistant Behavior Analyst
  • Kansas City, MO
  • NPI 1376870865
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334448000000",
    "number": "1023375045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 N BELTON AVE",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509502",
            "telephone_number": "816-863-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 N BELTON AVE",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509502",
            "telephone_number": "816-863-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTH",
        "first_name": "ALICE",
        "middle_name": "MARIE",
        "credential": "MA, LPC, BCBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2012-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010007552",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2012010600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apria Healthcare, Inc. (Star Medical Tx)
• Aps Ambulance, LLC
• Riley Tegan Atwell, PT, DPT
• Diana Jazmin Betancourt, MS, LAT, ATC
• Ali M Bishr, PHARMD
• Caleb Michael Book, PT, DPT
• Chitra Chinnaswamy, MD
• Neil R Corriston
• Kimberly Cowgill, RN
• Ashley Kate Cummins, PHARMD

• Behavior Analyst in Riverside, MO
• Providers in Riverside, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.