Beth Beasley, C.J.S.O.C.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3915 N Chadam LN
Apt 1C
Muncie, IN 47304-6335

Phone

(317) 832-6054

NPI assigned

Jul 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Beth Beasley Professional name

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1093198459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 N CHADAM LN",
            "address_2": "APT 1C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046335",
            "telephone_number": "317-832-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 N CHADAM LN",
            "address_2": "APT 1C",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046335",
            "telephone_number": "317-832-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEASLEY",
        "first_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "C.J.S.O.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BEASLEY",
            "credential": "QMHP, CJSOC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayley Bautista, RBT
• Sonal J Bazeley, MD
• Kevin Beach, PTA, ATC/L
• Lynnette Noel Beach
• Morgan Noel Beard
• Johnathon Beatrice
• Kylie Dawn Beaty
• Karli N Bechdolt, PT
• Allison Beckley
• Philip Beedham

• Behavior Analyst in Muncie, IN
• Providers in Muncie, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.