Individual provider Active NPI

Shelby Lynn Popkes, BCBA, LBA

  • Behavior Analyst
  • Columbia, MO
National Provider Identifier
1922686989
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2023039078 Issued in MO
Practice address
800 Cherry St
Columbia, MO 65201-4824
Phone
(573) 200-6745
NPI assigned
Mar 31, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2023039078 MO Primary
Behavior Technician 106S00000X RBT-21-160106 MO

Addresses

Primary practice location

800 Cherry St
Columbia, MO 65201-4824

Mailing address

800 Cherry St
Columbia, MO 65201-4824
Phone (573) 200-6745

Other practice location 1

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
Phone (417) 818-5784

Other names 1

  • Shelby Fischer 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
2023039078MOMDBehavioral Analyst
RBT-21-160106MOMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
My World ABA LLC CurrentSince Feb 27, 2022 Accepting new patients
Atlas Autism Health Missouri LLC Past Accepting new patients
Atlas Autism Health Missouri LLC Behavior Analyst PastSince Dec 24, 2023 Accepting new patients

Locations

3048 S Clifton Ave
Ste 112
Springfield, MO 65807
Phone (417) 818-5784

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1922686989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CHERRY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014824",
            "telephone_number": "573-200-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CHERRY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014824",
            "telephone_number": "573-200-6745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 S Clifton Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658076045",
            "country_code": "US",
            "telephone_number": "417-818-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPKES",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2023039078",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-21-160106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "FISCHER",
            "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 Sep 27, 2023; 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.