Active NPI
Amy Jo Reese, BCBA, LBA
- Behavior Analyst
- Springfield, MO
National Provider Identifier
1720519317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2012013520
- Practice address
- 1340 E Woodhurst Dr
Springfield, MO 65804-4281 - Phone
- (417) 889-3121
- NPI assigned
- Mar 24, 2017
- 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 | 2012013520 | MO | Primary |
Addresses
Primary practice location
1340 E Woodhurst Dr
Springfield, MO 65804-4281
Mailing address
1340 E Woodhurst Dr
Springfield, MO 65804-4281
Phone (417) 889-3121
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 |
|---|---|---|---|
| 2012013520 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1720519317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 E WOODHURST DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044281",
"telephone_number": "417-889-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 E WOODHURST DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044281",
"telephone_number": "417-889-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2012013520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.