Active NPI
Courtney Luebbering, BCBA
- Behavior Analyst
- Sedalia, MO
National Provider Identifier
1558088310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12478714
- Practice address
- 309 S Ohio Ave
Sedalia, MO 65301-4431 - Phone
- (888) 515-1793
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 12478714 | MO | Primary |
Addresses
Primary practice location
309 S Ohio Ave
Sedalia, MO 65301-4431
Mailing address
309 S Ohio Ave
Sedalia, MO 65301-4431
Phone (188) 851-5179
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 |
|---|---|---|---|
| 12478714 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1558088310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S OHIO AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653014431",
"telephone_number": "188-851-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S OHIO AVE",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653014431",
"telephone_number": "888-515-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEBBERING",
"first_name": "COURTNEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "12478714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedalia, MO
- Brett H Liesemeyer, OD
- David V Limbaugh, D.C.
- Lincare Inc.
- Linda Roark Group Care
- Rick Burdette Longie, DC
- Luxottica of America Inc. (LensCrafters #2280)
- Luxottica Retail North America Inc (Pearle Vision #C6210)
- Beth M Lyles, M.S. CCC-SLP
- M D Kempf Corporation (Psychiatric Services)
- Kimberly Mabry, CERTIFIED HEALTH COA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.