Austin James, Robert Davis

Individual provider Active NPI Assistant Behavior Analyst · Nixa, MO

NPI 1083335392 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1083335392
Entity type
Individual (NPI type 1)
Primary specialty
Assistant Behavior Analyst 106E00000X
License
0-23-14936 (MO)
Practice address
705 E Gallup Hill Rd
Nixa, MO 65714-8864
Phone
(833) 624-6385
NPI assigned
Sep 6, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-22-232276MOMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Daytastic ABA, LLC Current
since Sep 11, 2022
Accepting new patients

Locations

116 W Sherman Way
Ste 1
Nixa, MO 65714
Phone (417) 298-0984

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-232276 MO
Assistant Behavior Analyst 106E00000X 0-23-14936 MO Yes

Addresses

Primary practice location

705 E Gallup Hill Rd
Nixa, MO 65714-8864

Mailing address

705 E Gallup Hill Rd
Nixa, MO 65714-8864
Phone (833) 624-6385

Other providers in Nixa, MO

All providers in Nixa, MO · Assistant Behavior Analyst in Missouri

Sources for this page

Verify at the official NPI Registry.