Elizabeth Ann Brunson
Individual provider Active NPI Behavior Analyst · Warrenton, MO
NPI 1215696992 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1215696992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 2024034169 (MO)
- Practice address
- 206 S Morgan
Warrenton, MO 63383-2410 - Phone
- (636) 359-6290
- NPI assigned
- Dec 10, 2021
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024034169 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism and Behavioral Spectrum LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2024034169 | MO | Yes |
Addresses
Primary practice location
206 S Morgan
Warrenton, MO 63383-2410
Mailing address
206 S Morgan
Warrenton, MO 63383-2410
Phone (636) 359-6290
Other providers in Warrenton, MO
- Dennis John Brady Jr.
- Dennis John Brady Sr.
- Bristol Care, Inc.
- Michelle Brooks
- Jacquelyn Brown
- Richard Bruce Buckles
- John Thomas Buelter
- Jean M. Burle
- Rachel Burlison
- Sarah K Burrus
All providers in Warrenton, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. 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.