Organization Active NPI

Innovative Behavior Analysis Support Systems, LLC

  • Behavior Analyst
  • Little Rock, AR
National Provider Identifier
1104381623
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
INNOVATIVE BEHAVIOR ANALYSIS SUPPORT SYSTEMS, LLC
Practice address
3 Lorian Cir
Little Rock, AR 72212-2662
Phone
(501) 570-6424
Fax
(501) 897-6407
NPI assigned
Feb 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Christopher Boyd Ewing, BCBANPI 1447428990
Title
Owner/Director of Clinical Services
Phone
(501) 570-6424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

3 Lorian Cir
Little Rock, AR 72212-2662

Mailing address

3 Lorian Cir
Little Rock, AR 72212-2662
Phone (501) 570-6424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1104381623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LORIAN CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122662",
            "telephone_number": "501-570-6424",
            "fax_number": "501-897-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LORIAN CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122662",
            "telephone_number": "501-570-6424",
            "fax_number": "501-897-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIOR ANALYSIS SUPPORT SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "501-570-6424",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; 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.