Active NPI
Elizabeth Marie Walsh, MS, BCBA, LBA
- Behavior Analyst
- Birmingham, AL
National Provider Identifier
1861896714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-14-15776
- Practice address
- 3500 7TH Ave S
Birmingham, AL 35222-3211 - Phone
- (855) 324-0885
- NPI assigned
- Oct 21, 2014
- Last updated
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 1-14-15776 | AL | Primary |
Addresses
Primary practice location
3500 7TH Ave S
Birmingham, AL 35222-3211
Mailing address
86 Ivey Way
Munford, AL 36268-7126
Phone (205) 434-0176
Other practice location 1
86 Ivey Way
Munford, AL 36268-7126
Phone (205) 434-0176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871885871 | Other | AL | BEHAVIOR ANALYST |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
| Hopebridge LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Birmingham, AL
- NPI 1013669191
Behavior Analyst
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- Child & Adolescent Psychiatry Physician
- Gardendale, AL
- NPI 1376295469
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1861896714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 IVEY WAY",
"city": "MUNFORD",
"state": "AL",
"postal_code": "362687126",
"telephone_number": "205-434-0176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 7TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352223211",
"telephone_number": "855-324-0885"
}
],
"practiceLocations": [
{
"address_1": "86 Ivey Way",
"address_purpose": "LOCATION",
"city": "Munford",
"state": "AL",
"postal_code": "362687126",
"country_code": "US",
"telephone_number": "205-434-0176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "MS, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AL",
"license": "1-14-15776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST",
"identifier": "1871885871",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.