Individual provider Active NPI

Crystal Brooke Allen, BCBA

  • Behavior Analyst
  • Clinton, MO
National Provider Identifier
1942571401
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2010042089 Issued in MO
Practice address
210 South 2ND Street, the Pediatric Place, LLC
Suite a
Clinton, MO 64735
Phone
(660) 885-2394
Fax
(660) 383-1650
NPI assigned
Jan 14, 2012
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 2010042089 MO Primary

Addresses

Primary practice location

210 South 2ND Street, the Pediatric Place, LLC
Suite a
Clinton, MO 64735

Mailing address

210 South 2ND Street, the Pediatric Place, LLC
Suite a
Clinton, MO 64735
Phone (660) 885-2394

Other names 1

  • Crystal Brooke Mosley 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
2010042089MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Based Learning, LLC Behavior Analyst CurrentSince Aug 25, 2019 Accepting new patients
Pediatric Place, LLC Past Accepting new patients

Organizations & group practices 2

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": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1942571401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SOUTH 2ND STREET, THE PEDIATRIC PLACE, LLC",
            "address_2": "SUITE A",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SOUTH 2ND STREET, THE PEDIATRIC PLACE, LLC",
            "address_2": "SUITE A",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "CRYSTAL",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2010042089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "MOSLEY",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.