Active NPI
Catherine Sandberg Eaves
- Behavior Analyst
- West Point, MS
National Provider Identifier
1760145619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA415898
- Practice address
- 252 Calhoun St
West Point, MS 39773-3151 - Phone
- (662) 392-1964
- Fax
- (662) 391-1965
- NPI assigned
- Oct 18, 2021
- Last updated
- Oct 18, 2021
- 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 | BCBA415898 | NU | Primary |
Addresses
Primary practice location
252 Calhoun St
West Point, MS 39773-3151
Mailing address
296 Lynn Dr
Columbus, MS 39702-7732
Phone (662) 251-7625
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": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1760145619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 LYNN DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397027732",
"telephone_number": "662-251-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 CALHOUN ST",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397733151",
"telephone_number": "662-392-1964",
"fax_number": "662-391-1965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAVES",
"first_name": "CATHERINE",
"middle_name": "SANDBERG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "BCBA415898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, MS
- Christopher Diggs
- Divinity Healthcare Inc
- Matthew Charles Dowdy, DO
- Dugan Memorial Home
- Dugan Memorial Home, Inc. (Dugan Memorial Home)
- Charles H Emrick, NP
- Encore Rehabilitation Inc (Encore Rehab of West Point)
- Encore Rehabilitation Inc (Encore Rehab of West Point)
- Enduracare Acute Care Services LLC
- Kenzie Elizabeth Estes, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.