Ella Maedalynn Wilbanks

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3411 Division Dr
West Plains, MO 65775-5789

Phone

(417) 257-9152

Fax

(417) 257-9162

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Counseling Center, Inc.

  • Primary Care Clinic/Center
  • Poplar Bluff, MO
  • NPI 1235738493
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1780424804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 DIVISION DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657755789",
            "telephone_number": "417-257-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 DIVISION DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657755789",
            "telephone_number": "417-257-9152",
            "fax_number": "417-257-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "ELLA",
        "middle_name": "MAEDALYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wiehe Chiropractic Center
• Andrena Allison Wiggins, LCSW
• Rachel Wiggins
• Sarah Maria Wiggs, FNP-C
• Courtney Amanda Wilbanks, FNP
• Kelley Gaye Wilbanks, LPC
• Brett Wilcox
• Jennifer Wilkins, RASAC I
• Timothy Wilkins
• Karen Marie Will, MS, RSAP

• Behavior Technician in West Plains, MO
• Providers in West Plains, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.