Robert Wayne Barnett – Behavior Analyst in Nixa, MO

Key facts

NPI: 1457098790
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: 1-24-76561 (MO)
Practice address: 116 W Sherman Way Ste 1
Nixa, MO 65714-9022
Phone: (417) 298-0984
Fax: (417) 374-7185
NPI assigned: May 18, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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 BEHAVIOR ANALYST

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
RBT-22-216817	MO	MD	Behavior Technician

Practice roles

Organization	Specialty	Status	New patients
Daytastic ABA, LLC	Behavior Analyst	Current since May 22, 2022	Accepting new patients

Locations

116 W Sherman Way
Ste 1
Nixa, MO 65714
Phone (417) 298-0984

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X	RBT-22-216817	MO
Behavior Analyst	103K00000X	1-24-76561	MO	Yes

Addresses

Primary practice location

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

Mailing address

116 W Sherman Way Ste 1
Nixa, MO 65714-9022
Phone (417) 298-0984

Other providers in Nixa, MO

All providers in Nixa, 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 Oct 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.

Verify at the official NPI Registry.