Hillary M Masters, BCBA
Individual provider Active NPI Behavior Analyst · Stilwell, KS
NPI 1104140284 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1104140284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-08-4710 (CO)
- Practice address
- 2185 W 162ND Ter
Stilwell, KS 66085-8425 - Phone
- (720) 331-1419
- NPI assigned
- Mar 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Learners Behavioral Services | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-08-4710 | CO | Yes |
Addresses
Primary practice location
2185 W 162ND Ter
Stilwell, KS 66085-8425
Mailing address
2185 W 162ND Ter
Stilwell, KS 66085-8425
Phone (720) 331-1419
Other practice location 1
18687 W 165th St
Olathe, KS 66062-7932
Phone (720) 331-1419
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201113520A | Medicaid | KS | |
| 1104140284 | Other | NPI |
Other names
- Hillary M Masters
Other providers in Stilwell, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.