Bev Graham, BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3155 N College Ave Ste 108
Fayetteville, AR 72703-3500

Phone

(479) 957-9121

NPI assigned

Aug 20, 2018

Last updated

Jun 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1053891937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MORGAN DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011597",
            "telephone_number": "785-371-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 N COLLEGE AVE STE 108",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033500",
            "telephone_number": "479-957-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 N 155th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Basehor",
            "state": "KS",
            "postal_code": "660077100",
            "country_code": "US",
            "telephone_number": "913-662-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BEV",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emery D Gower, LAC
• Maegan S Gower
• GR8 Foxx Anesthesia, LTD.
• Carly Elizabeth Grace, RD, IBCLC
• David Lee Grace, D.D.S.
• Candice Leigh Graham
• Steven Donald Graham, M.D.
• Tammy D Graham, O.T.
• Kelsey Grainger, DPT, PT
• Frank C Grammer, DDS, PHD

• Behavior Analyst in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Behavior Analyst in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.