Individual provider Active NPI

Courtney Leigh Morgan-Roberts, BCBA

  • Behavior Analyst
  • Maryville, MO
National Provider Identifier
1467119750
Registry record updated Nov 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BACB505578 Issued in MO
Practice address
415 S Buchanan St
Maryville, MO 64468-2405
Phone
(660) 853-2121
NPI assigned
Nov 21, 2021
Last updated
Nov 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2021

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 BACB505578 MO Primary

Addresses

Primary practice location

415 S Buchanan St
Maryville, MO 64468-2405

Mailing address

415 S Buchanan St
Maryville, MO 64468-2405
Phone (660) 853-2121

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
BACB505578MOMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637452800000",
    "number": "1467119750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S BUCHANAN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682405",
            "telephone_number": "660-853-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S BUCHANAN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682405",
            "telephone_number": "660-853-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN-ROBERTS",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-21",
        "last_updated": "2021-11-21",
        "certification_date": "2021-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "BACB505578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2021; 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.