Bethany Ann Meade

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-263598 Issued in MO

Practice address

116 W Sherman Way Ste 1
Nixa, MO 65714-9022

Phone

(417) 298-0984

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Daytastic ABA, LLC

  • Behavior Analyst
  • Nixa, MO
  • NPI 1801473533
  NPD

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1386348266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W SHERMAN WAY STE 1",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W SHERMAN WAY STE 1",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149022",
            "telephone_number": "417-298-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "BETHANY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-23-263598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Elaine Marsh, CCC-SLP
• Nathan McCarter, RPH
• Shane Waite McConnell, PHARM.D.
• Janell Kristin McIntyre, LPC, NCC
• Jacob Paul McLauchlin, DDS
• Medcare Home Medical LLC
• Menm, LLC
• Mercy Clinic-Springfield Communities
• Mercy Hospital Springfield
• Mercy Pharmacy Services, LLC

• All providers in Nixa, MO
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.