Active NPI
Elizabeth Humphries
- Behavior Technician
- Raymore, MO
National Provider Identifier
1477450310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 103 S Jefferson St
Raymore, MO 64083-9703 - Phone
- (913) 804-2830
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
103 S Jefferson St
Raymore, MO 64083-9703
Mailing address
10573A NW County Road 10002
Amsterdam, MO 64723-8506
Phone (717) 831-2621
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792713600000",
"number": "1477450310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10573A NW COUNTY ROAD 10002",
"city": "AMSTERDAM",
"state": "MO",
"postal_code": "647238506",
"telephone_number": "717-831-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S JEFFERSON ST",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839703",
"telephone_number": "913-804-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHRIES",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.