Missing Piece Autism Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MISSING PIECE AUTISM SERVICES

Practice address

12005 E 12TH Ave
Spokane Valley, WA 99206-5456

Phone

(509) 795-0777

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Renee Peterson, BCBA, LBA

Title

Owner, Bcba

Phone

(509) 795-0777

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1144946401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12005 E 12TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 E 12TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065456",
            "telephone_number": "509-795-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSING PIECE AUTISM SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER, BCBA",
        "authorized_official_telephone_number": "509-795-0777",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098134",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rpeterson@missingpieceautismservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "12005 E 12th Ave",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992065456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rpeterson@missingpieceautismservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12005 E 12th Ave",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992065456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosita L. F. Miranda, M.D., M,S., D.L.O
• Aidan Grace Mirick
• Mariya Miroshin
• Mirror Pond Therapy PLLC
• Aaron G Misiuk, FNP
• Frances May Mitchell
• Robin L Mitchell, MD
• Roger Mitchell, LD
• Ross Joseph Mitchell
• Krystyl Wyne Miyamoto, LMHC, LICSWA

• Behavior Analyst in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.