NPIMap

Organization Active NPI

Behavior Consulting, LLC

  • Behavior Analyst
  • Shiloh, IL
National Provider Identifier
1801340468
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2012001164 Issued in MO
Legal business name
BEHAVIOR CONSULTING, LLC
Practice address
1518 Manchester Dr
Shiloh, IL 62269-7278
Phone
(618) 622-5120
NPI assigned
Aug 11, 2016
Last updated
Aug 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Authorized official

Name
Mrs. Heidi Ann Blaylock, BCBA
Title
Consultant/President
Phone
(636) 751-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 2012001164 MO Primary

Addresses

Primary practice location

1518 Manchester Dr
Shiloh, IL 62269-7278

Mailing address

1518 Manchester Dr
Shiloh, IL 62269-7278
Phone (636) 751-3889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1801340468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MANCHESTER DR",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697278",
            "telephone_number": "636-751-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MANCHESTER DR",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697278",
            "telephone_number": "618-622-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CONSULTANT/PRESIDENT",
        "authorized_official_telephone_number": "636-751-3889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2012001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.