Active NPI
Joshua Wood
- Behavior Analyst
- Springfield, MO
National Provider Identifier
1467945360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2016043596
- Practice address
- 1111 S Glenstone Ave
Springfield, MO 65804-0313 - Phone
- (417) 831-0617
- Fax
- (417) 869-4156
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- 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 | 2016043596 | MO | Primary |
Addresses
Primary practice location
1111 S Glenstone Ave
Springfield, MO 65804-0313
Mailing address
118 N 2ND St
Saint Charles, MO 63301-2832
Phone (636) 224-1210
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 |
|---|---|---|---|
| 2016043596 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1467945360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 N 2ND ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012832",
"telephone_number": "636-224-1210",
"fax_number": "636-946-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S GLENSTONE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658040313",
"telephone_number": "417-831-0617",
"fax_number": "417-869-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2016043596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.