Individual provider Active NPI

Alissa Kae Marlow, BCABA

  • Behavior Analyst
  • Columbia, MO
National Provider Identifier
1841626892
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2013034275 Issued in MO
Practice address
918 Bernadette Dr
Columbia, MO 65203-5007
Phone
(573) 874-3777
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 2013034275 MO Primary

Addresses

Primary practice location

918 Bernadette Dr
Columbia, MO 65203-5007

Mailing address

10176 Corporate Square Dr
Suite 150
Saint Louis, MO 63132-2924
Phone (314) 432-6200

Other names 1

  • Miss Alissa Kae Bechtel Former name

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
2013034275MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Midwest Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1841626892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 CORPORATE SQUARE DR",
            "address_2": "SUITE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322924",
            "telephone_number": "314-432-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BERNADETTE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035007",
            "telephone_number": "573-874-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "ALISSA",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013034275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISSA",
            "last_name": "BECHTEL",
            "middle_name": "KAE",
            "prefix": "MISS",
            "credential": "BCABA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.