Individual provider Active NPI

Rainey Elizabeth Griffard

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1417595174
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2023029626 Issued in MO
Practice address
3555 Sunset Office Dr
Saint Louis, MO 63127-1015
Phone
(505) 456-6474
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 2023029626 MO Primary

Addresses

Primary practice location

3555 Sunset Office Dr
Saint Louis, MO 63127-1015

Mailing address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734

Other names 1

  • Rainey Elizabeth Shipp Former name

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

LicenseStateTypeSpecialty
2023029626MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Learning Collaborative LLC Behavior Analyst CurrentSince Jul 31, 2023 Accepting new patients
Early Autism Services PastSince May 3, 2020 Accepting new patients

Locations

3555 Sunset Office Dr
Ste 101
Saint Louis, MO 63127
Phone (314) 240-2031

8300 Jefferson St NE
Ste B
Albuquerque, NM 87113
Phone (505) 225-5323

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1417595174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 SUNSET OFFICE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271015",
            "telephone_number": "505-456-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFARD",
        "first_name": "RAINEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2023029626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINEY",
            "last_name": "SHIPP",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.