Individual provider Active NPI

Grace Marshall, RBT

  • Behavior Technician
  • Lees Summit, MO
National Provider Identifier
1720818347
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1009 SE Browning Ave
Lees Summit, MO 64081-2922
Phone
(816) 204-0867
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1009 SE Browning Ave
Lees Summit, MO 64081-2922

Mailing address

913 Sheidley Ave
Bonner Springs, KS 66012-9514
Phone (816) 204-0867

Other practice location 1

913 Sheidley Ave
Bonner Springs, KS 66012-9514
Phone (816) 204-0867

Other practice location 2

10875 Grandview Dr Ste 2200
Overland Park, KS 66210-1510
Phone (816) 204-0867

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

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720818347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SHEIDLEY AVE",
            "city": "BONNER SPRINGS",
            "state": "KS",
            "postal_code": "660129514",
            "telephone_number": "816-204-0867",
            "fax_number": "816-439-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SE BROWNING AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812922",
            "telephone_number": "816-204-0867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 Sheidley Ave",
            "address_purpose": "LOCATION",
            "city": "Bonner Springs",
            "state": "KS",
            "postal_code": "660129514",
            "country_code": "US",
            "telephone_number": "816-204-0867",
            "fax_number": "816-439-8018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10875 Grandview Dr Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101510",
            "country_code": "US",
            "telephone_number": "816-204-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "GRACE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.