Individual provider Active NPI

Cassandra Michelle Bailey, MA, BCBA

  • Behavior Analyst
  • Lagrange, GA
National Provider Identifier
1508283532
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-15632 Issued in GA
Practice address
315 Ashford Cir
Lagrange, GA 30240-8895
Phone
(209) 430-1887
NPI assigned
Mar 27, 2014
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 1-14-15632 GA Primary

Addresses

Primary practice location

315 Ashford Cir
Lagrange, GA 30240-8895

Mailing address

315 Ashford Cir
Lagrange, GA 30240-8895
Phone (209) 430-1887

Other practice location 1

200 Brookstone Centre Pkwy Bldg 200
Columbus, GA 31904-4559
Phone (762) 239-0017

Other practice location 2

801 Parkcenter Dr
Suite 100
Santa Ana, CA 92705-3526
Phone (949) 705-9325

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Grace ABA, LLC Behavior Analyst CurrentSince Sep 29, 2024 Accepting new patients
Nyansa Learning Corporation Past Accepting new patients

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1508283532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ASHFORD CIR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302408895",
            "telephone_number": "209-430-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ASHFORD CIR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302408895",
            "telephone_number": "209-430-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Brookstone Centre Pkwy Bldg 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319044559",
            "country_code": "US",
            "telephone_number": "762-239-0017",
            "fax_number": "317-520-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Parkcenter Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053526",
            "country_code": "US",
            "telephone_number": "949-705-9325",
            "fax_number": "949-606-7089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CASSANDRA",
        "middle_name": "MICHELLE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-14-15632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.