Active NPI
Michelle R Canning, BCBA
- Behavior Analyst
- Elko, NV
National Provider Identifier
1356624514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBAT081111
- Practice address
- 1250 Lamoille Hwy Ste 103
Elko, NV 89801-4397 - Phone
- (775) 934-5810
- Fax
- (775) 777-1293
- NPI assigned
- Sep 23, 2011
- Last updated
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBAT081111 | NV | Primary |
Addresses
Primary practice location
1250 Lamoille Hwy Ste 103
Elko, NV 89801-4397
Mailing address
PO Box 1193
Elko, NV 89803-1193
Phone (775) 934-5810
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBAT081111 | NV | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Behavior Consultation LLC | Behavior Analyst | Current | Accepting new patients |
| Crossroads Nevada Behavior Consultation LLC | Behavior Analyst | Past | Accepting new patients |
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": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1356624514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1193",
"city": "ELKO",
"state": "NV",
"postal_code": "898031193",
"telephone_number": "775-934-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 LAMOILLE HWY STE 103",
"city": "ELKO",
"state": "NV",
"postal_code": "898014397",
"telephone_number": "775-934-5810",
"fax_number": "775-777-1293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNING",
"first_name": "MICHELLE",
"middle_name": "R",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "LBAT081111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.