Individual provider Active NPI

Anna Claire Waldrop, M.S., BCBA, LBA

  • Behavior Analyst
  • New Albany, MS
National Provider Identifier
1073199857
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
200026 Issued in MS
Practice address
403 Doctors Dr
New Albany, MS 38652-3110
Phone
(662) 539-7129
Fax
(662) 539-7298
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 200026 MS Primary

Addresses

Primary practice location

403 Doctors Dr
New Albany, MS 38652-3110

Mailing address

403 Doctors Dr
New Albany, MS 38652-3110
Phone (662) 539-7129

Other practice location 1

653 W Monroe St
Grenada, MS 38901-5115
Phone (662) 598-2050

Other practice location 2

5641 Alta Jean Blvd
Horn Lake, MS 38637-3502
Phone (662) 538-8657

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acwaldrop@wildandfreebehaviorllc.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
200026MSMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Wild & Free Behavior, LLC Behavior Analyst Current Accepting new patients
Wild & Free Behavior, LLC Current Accepting new patients

Locations

403 Doctors Dr
New Albany, MS 38652
Phone (662) 534-0890

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1073199857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523110",
            "telephone_number": "662-539-7129",
            "fax_number": "662-539-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 DOCTORS DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523110",
            "telephone_number": "662-539-7129",
            "fax_number": "662-539-7298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 W Monroe St",
            "address_purpose": "LOCATION",
            "city": "Grenada",
            "state": "MS",
            "postal_code": "389015115",
            "country_code": "US",
            "telephone_number": "662-598-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5641 Alta Jean Blvd",
            "address_purpose": "LOCATION",
            "city": "Horn Lake",
            "state": "MS",
            "postal_code": "386373502",
            "country_code": "US",
            "telephone_number": "662-538-8657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "ANNA",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "200026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acwaldrop@wildandfreebehaviorllc.com",
            "affiliation": "N",
            "address_1": "403 Doctors Dr",
            "city": "New Albany",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386523110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.