Individual provider Active NPI

Rocky Dean Haynes Jr., BCBA-D

  • Behavior Analyst
  • Paragould, AR
National Provider Identifier
1598144875
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
8 Southpointe Dr
Paragould, AR 72450-6238
Phone
(870) 565-9776
Fax
(870) 565-9740
NPI assigned
May 20, 2015
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 Primary

Addresses

Primary practice location

8 Southpointe Dr
Paragould, AR 72450-6238

Mailing address

8 Southpointe Dr
Paragould, AR 72450-6238
Phone (870) 565-9776

Other practice location 1

410 Teaco Rd
Kennett, MO 63857-3239
Phone (870) 565-9776

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palma Academy of Learning, LLC Behavior Analyst CurrentSince Dec 8, 2024 Accepting new patients
LBS Medical LLC Behavior Analyst PastSince Jun 18, 2023 Accepting new patients

Locations

8 Southpointe Dr
Paragould, AR 72450
Phone (870) 316-4033

410 Teaco Rd
Kennett, MO 63857
Phone (573) 888-9008

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1598144875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTHPOINTE DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506238",
            "telephone_number": "870-565-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTHPOINTE DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506238",
            "telephone_number": "870-565-9776",
            "fax_number": "870-565-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Teaco Rd",
            "address_purpose": "LOCATION",
            "city": "Kennett",
            "state": "MO",
            "postal_code": "638573239",
            "country_code": "US",
            "telephone_number": "870-565-9776",
            "fax_number": "870-565-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "ROCKY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "BCBA-D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.