ELISE MARIE BAGLEY (NPI# 1053972380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053972380 |
| Entity Type | Individual |
| Full Name | ELISE MARIE BAGLEY |
| Credential | BCABA |
| Practice Address |
447 Thurwell St Herculaneum MO 63048-1131 |
| Practice Telephone | 3142232872 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2019014818 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396977088 | Elise Bagley | Marriage & Family Therapist | 15 Village Park Dr, Laurel, MS 39443-9063 | 2009-08-14 |
| Street Address |
447 THURWELL ST |
| City | HERCULANEUM |
| State | MO |
| Zip Code | 63048-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815360 | Owl Therapy Services LLC | Behavioral Analyst | 447 Thurwell St, Herculaneum, MO 63048-1131 | 2020-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104052034 | Daphane Angela Simora | Naturopath | 836 Brown St, Herculaneum, MO 63048 | 2009-06-05 |
| 1538281787 | Joseph Paul Schmieder | Dentist | 1171 Scenic Dr, Herculaneum, MO 63048 | 2007-04-06 |
| 1629402938 | Catherine Rapp | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048 | 2013-08-23 |
| 1134397680 | Scenic Drive Dental Center | Dentist | 1171 Scenic Dr, Herculaneum, MO 63048-0337 | 2008-02-19 |
| 1548738719 | Community Treatment Inc. | Clinic/Center | 200 Senn Tomas Dr, Herculaneum, MO 63048-1033 | 2018-11-06 |
| 1609356179 | Kelsey Jungermann | Speech-Language Pathologist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1548435936 | Johanna Conine | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2008-04-25 |
| 1336622885 | Karissa Marie Vernon | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-09-11 |
| 1417437997 | Mallorie Renth | Speech-Language Pathologist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1851871339 | Danielle Recar | Occupational Therapist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| Find all providers in zip 63048 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815360 | Owl Therapy Services LLC | Behavioral Analyst | 447 Thurwell St, Herculaneum, MO 63048-1131 | 2020-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828906 | Davis Nicole Norber | Behavioral Analyst | 2 Stacy Dr, Saint Louis, MO 63132-4120 | 2020-10-14 |
| 1982202883 | Unearth Potential, LLC | Behavioral Analyst | 1907 S Moffet Ave, Joplin, MO 64804-1851 | 2020-10-13 |
| 1396343406 | Precision Teaching Stl, LLC | Behavioral Analyst | 10425 Old Olive Street Rd # Ll2, Creve Coeur, MO 63141-5940 | 2020-10-12 |
| 1487251369 | Megan A Martin | Behavioral Analyst | 23713 Bison Street, Mercer, MO 64661 | 2020-10-05 |
| 1023625746 | Omolara Akinola | Behavioral Analyst | 5243 Elk Trail Dr, Black Jack, MO 63033-7511 | 2020-09-27 |
| 1790398527 | Katie Evans | Behavioral Analyst | 2117 E Madison St, Springfield, MO 65802-3025 | 2020-08-31 |
| 1881205482 | Jaclyn Neugebauer | Behavioral Analyst | 3834 Oxford Rd, Jefferson City, MO 65109-5341 | 2020-08-17 |
| 1598375065 | Heather Ann Kulash | Behavioral Analyst | 3207 Halliday Ave Apt 2e, Saint Louis, MO 63118-1264 | 2020-08-08 |
| 1003432972 | Stacy R Klusmeier | Behavioral Analyst | 2809 Valley Creek Rd, Cape Girardeau, MO 63701-8938 | 2020-06-17 |
| 1013538123 | Bethany Rae Rackers | Behavioral Analyst | 1417 Highway P, Freeburg, MO 65035-2407 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | HERCULANEUM |
| Zip Code | 63048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.