Individual provider Active NPI

Joshua McCormack, BCBA

  • Behavior Analyst
  • Ruston, LA
National Provider Identifier
1760937783
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
160 Issued in LA
Practice address
1003 Sherwood Dr
Ruston, LA 71270-2135
Phone
(318) 237-8216
NPI assigned
Aug 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 160 LA Primary

Addresses

Primary practice location

1003 Sherwood Dr
Ruston, LA 71270-2135

Mailing address

1003 Sherwood Dr
Ruston, LA 71270-2135
Phone (318) 237-8216

Other practice location 1

373 S Willow St Ste 266
Manchester, NH 03103-5751
Phone (877) 315-8080

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

LicenseStateTypeSpecialty
160LAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
McCormack Enterprise, LLC Behavior Analyst CurrentSince Feb 16, 2020 Accepting new patients
Positive Reinforcement Behavior Therapy, Inc Behavior Analyst PastSince Apr 5, 2020 Accepting new patients
Behavioral Developmental Services Behavior Analyst Past Accepting new patients
Positive Reinforcement ABA Therapy Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1760937783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 SHERWOOD DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702135",
            "telephone_number": "318-237-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 SHERWOOD DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702135",
            "telephone_number": "318-237-8216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 S Willow St Ste 266",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031035751",
            "country_code": "US",
            "telephone_number": "877-315-8080",
            "fax_number": "877-345-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "JOSHUA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "LA",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.