NPIMap

Organization Active NPI

Bledsoe Professional Services

  • Behavior Analyst
  • Columbia, MO
National Provider Identifier
1205290145
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2013009323 Issued in MO
Legal business name
BLEDSOE PROFESSIONAL SERVICES
Practice address
1506 Anthony St
Columbia, MO 65201-5806
Phone
(573) 499-1362
Fax
(573) 499-1362
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Ms. Michelle C Bledsoe, BCBANPI 1457495400
Title
Behavior Analyst/Owner
Phone
(573) 499-1362

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 2013009323 MO Primary

Addresses

Primary practice location

1506 Anthony St
Columbia, MO 65201-5806

Mailing address

1506 Anthony St
Columbia, MO 65201-5806
Phone (573) 499-1362

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": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1205290145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 ANTHONY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015806",
            "telephone_number": "573-499-1362",
            "fax_number": "573-499-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 ANTHONY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015806",
            "telephone_number": "573-499-1362",
            "fax_number": "573-499-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEDSOE PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/OWNER",
        "authorized_official_telephone_number": "573-499-1362",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013009323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.