NPIMap

Organization Active NPI

Upward ABA

  • Behavior Analyst
  • Southaven, MS
National Provider Identifier
1730760562
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UPWARD ABA
Practice address
6858 Swinnea Rd BLDG 6B
Southaven, MS 38671-9493
Phone
(662) 426-6136
Fax
(662) 499-6136
NPI assigned
Apr 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Ms. Brandee L Masterson, MS, BCBANPI 1962751933
Title
Executive Director
Phone
(731) 234-1873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

6858 Swinnea Rd BLDG 6B
Southaven, MS 38671-9493

Mailing address

6858 Swinnea Rd BLDG 6B
Southaven, MS 38671-9493
Phone (662) 426-6136

Other identifiers 2

IdentifierTypeStateIssuer
1811467731OtherTNNPI
1962751933MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmastrsn@upward-aba.com

National Provider Directory

National Provider Directory

Locations

6858 Swinnea Rd
Bldg 6B
Southaven, MS 38671
Phone (626) 426-6136

Practitioners & affiliated clinicians

Practitioners 7

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": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1730760562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD BLDG 6B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-426-6136",
            "fax_number": "662-499-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD BLDG 6B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-426-6136",
            "fax_number": "662-499-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "731-234-1873",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811467731",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962751933",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmastrsn@upward-aba.com",
            "affiliation": "N",
            "address_1": "407 S Heard St",
            "city": "Senatobia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386682700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.