Active NPI
Elise Haury, BCBA, MA
- Behavior Analyst
- Town and Country, MO
National Provider Identifier
1699336834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 11936578
- Practice address
- 801 Millfield CT
Town and Country, MO 63017-8318 - Phone
- (314) 749-3857
- NPI assigned
- Jun 27, 2019
- Reactivated
- Sep 5, 2019
- Last updated
- Sep 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 11936578 | MO | Primary |
Addresses
Primary practice location
801 Millfield CT
Town and Country, MO 63017-8318
Mailing address
801 Millfield CT
Town and Country, MO 63017-8318
Phone (314) 749-3857
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11936578 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1699336834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MILLFIELD CT",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "630178318",
"telephone_number": "314-749-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MILLFIELD CT",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "630178318",
"telephone_number": "314-749-3857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAURY",
"first_name": "ELISE",
"credential": "BCBA, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-27",
"last_updated": "2019-09-05",
"deactivation_date": "2019-08-15",
"reactivation_date": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "11936578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Town and Country, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.