NPI 1053686535 · live from the CMS NPI Registry
Anita Archer
Behavior Analyst in Joplin, MO. National Provider Identifier 1053686535, active.
NPI record
| NPI | 1053686535 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 420 Grand Ave, Joplin, MO 64801 |
| Practice phone | 417-680-0777 |
| Mailing address | Po Box 426, Joplin, MO 64802 |
| Enumerated | March 15, 2012 |
| Last updated | May 12, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2020012497 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.