Active NPI
Connor R McCroskey
- Behavior Analyst
- Eugene, OR
National Provider Identifier
1538667597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 960 E 19TH Ave Apt 105
Eugene, OR 97403-1498 - Phone
- (503) 939-0523
- NPI assigned
- Jan 24, 2018
- Last updated
- Jan 24, 2018
- Sex
- Male
- 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 Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
960 E 19TH Ave Apt 105
Eugene, OR 97403-1498
Mailing address
960 E 19TH Ave Apt 105
Eugene, OR 97403-1498
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": "1516752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516752000000",
"number": "1538667597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 E 19TH AVE APT 105",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E 19TH AVE APT 105",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031498",
"telephone_number": "503-939-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROSKEY",
"first_name": "CONNOR",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-24",
"last_updated": "2018-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.