Organization Active NPI

Masterpiece Behavior Services

  • Behavior Analyst
  • Ruston, LA
National Provider Identifier
1063176071
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MASTERPIECE BEHAVIOR SERVICES
Practice address
2100 Floyd Park Dr Ste 2
Ruston, LA 71270-6648
Phone
(318) 548-1589
NPI assigned
Oct 26, 2021
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Mr. John Seth Smith, M.ED., BCBA, LBANPI 1104392034
Title
Bcba
Phone
(318) 548-1589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2100 Floyd Park Dr Ste 2
Ruston, LA 71270-6648

Mailing address

2100 Floyd Park Dr Ste 2
Ruston, LA 71270-6648
Phone (318) 548-1589

Other practice location 1

103 Adam Cir
Ruston, LA 71270-1612
Phone (318) 548-1589

National Provider Directory

National Provider Directory

Locations

2100 Floyd Park Dr
Ste 2
Ruston, LA 71270
Phone (318) 548-1589

2201 N Service Rd E
Ruston, LA 71270
Phone (318) 251-2559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1063176071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FLOYD PARK DR STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706648",
            "telephone_number": "318-548-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 FLOYD PARK DR STE 2",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706648",
            "telephone_number": "318-548-1589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Adam Cir",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712701612",
            "country_code": "US",
            "telephone_number": "318-548-1589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASTERPIECE BEHAVIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "318-548-1589",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.