Organization Active NPI

Morning Star Behavioral Associates LLC

Doing business as Morning Star Bx Associates

  • Behavior Analyst
  • Jackson, MO
National Provider Identifier
1588074116
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2013009325 Issued in MO
Legal business name
MORNING STAR BEHAVIORAL ASSOCIATES LLC
Doing business as
Morning Star Bx Associates
Practice address
219 Quail CRK
Jackson, MO 63755-3810
Phone
(618) 697-1132
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lindsey Michelle Radcliffe, QIDP, DDP
Title
Partner
Phone
(618) 697-1132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 2013009325 MO Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

219 Quail CRK
Jackson, MO 63755-3810

Mailing address

219 Quail CRK
Jackson, MO 63755-3810
Phone (618) 697-1132

Other names 1

  • Morning Star Bx Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1588074116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 QUAIL CRK",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553810",
            "telephone_number": "618-697-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 QUAIL CRK",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553810",
            "telephone_number": "618-697-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR BEHAVIORAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "RADCLIFFE",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "618-697-1132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "QIDP, DDP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013009325",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morning Star Bx Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.