Individual provider Active NPI

Michaela Overley, BCBA

  • Behavior Analyst
  • North Little Rock, AR
National Provider Identifier
1326611245
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-67071 Issued in IN
Practice address
4610 W Commercial Dr
North Little Rock, AR 72116-7057
Phone
(501) 287-5229
NPI assigned
Jul 19, 2021
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-67071 IN Primary

Addresses

Primary practice location

4610 W Commercial Dr
North Little Rock, AR 72116-7057

Mailing address

701 Wellington Hills Rd Apt 721
Little Rock, AR 72211-2181
Phone (720) 209-6194

Other practice location 1

1210 Aldersgate Rd
Little Rock, AR 72205-6606
Phone (501) 574-3053

Other identifiers 1

IdentifierTypeStateIssuer
250503795MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moverley@aimsclinics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Therapy, LLC CurrentSince Jul 1, 2021 Accepting new patients
Hopebridge LLC Behavior Analyst Past Accepting new patients

Locations

1210 Aldersgate Rd
Little Rock, AR 72205
Phone (501) 238-3551

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1326611245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WELLINGTON HILLS RD APT 721",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112181",
            "telephone_number": "720-209-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167057",
            "telephone_number": "501-287-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Aldersgate Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056606",
            "country_code": "US",
            "telephone_number": "501-574-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERLEY",
        "first_name": "MICHAELA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-23-67071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250503795",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moverley@aimsclinics.com",
            "affiliation": "N",
            "endpointDescription": "Clinic Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1210 Aldersgate Rd",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722056606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.