Individual provider Active NPI

Haley Paige Eppes, M.S., BCBA, LBA

  • Behavior Analyst
  • Springfield, MO
National Provider Identifier
1093134231
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2014010647 Issued in MO
Practice address
1501 E Pythian St
Springfield, MO 65802-2139
Phone
(417) 874-1917
Fax
(417) 864-4307
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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 2014010647 MO Primary

Addresses

Primary practice location

1501 E Pythian St
Springfield, MO 65802-2139

Mailing address

1501 E Pythian St
Springfield, MO 65802-2139
Phone (417) 874-1917

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
2014010647MOMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1093134231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E PYTHIAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022139",
            "telephone_number": "417-874-1917",
            "fax_number": "417-864-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E PYTHIAN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022139",
            "telephone_number": "417-874-1917",
            "fax_number": "417-864-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPES",
        "first_name": "HALEY",
        "middle_name": "PAIGE",
        "credential": "M.S., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2014010647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.