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Evelyn Laurence , BCBA

Behavior Analyst β€’ Conway, AR

Active NPI 1215444633 Individual Practitioner Female Practitioner
Practice location in NPPES

815 S Donaghey Ave
Conway, AR 720346880

Call 5014000924 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

815 S Donaghey Ave

Conway, AR 720346880

Telephone 5014000924
Organization at the Same NPPES Address or Phone
Hopebridge Llc Facility NPI 1477205573

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Russellville, AR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Conway and Arkansas

41 active clinicians are listed under Behavior Analyst with a practice address in Conway, AR (451 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Conway

0% of these 41 clinicians have the CMS telehealth indicator.

0% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES AR 1-19-40188

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

301 N Sidney Ave

Russellville, AR 728014383

Phone: 4798905494

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location October 30, 2023

Registered at 815 S DONAGHEY AVE, CONWAY, AR 720346880 (Tel: 5014000924)

πŸ“
Updated Business Mailing Address October 30, 2023

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

πŸ“
Updated Practice Location December 01, 2022

Registered at 301 N SIDNEY AVE, RUSSELLVILLE, AR 728014383 (Tel: 4798905494)

πŸ“
Updated Business Mailing Address December 01, 2022

Registered at 301 N SIDNEY AVE, RUSSELLVILLE, AR 728014383 (Tel: 4798905494)

πŸ‘€
Provider Name / Credentials Updated December 01, 2022

Recorded as EVELYN LAURENCE, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2022

Behavior Analyst (license number reported to NPPES: AR 1-19-40188)

βœ…
NPI Profile Active January 08, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 08, 2018

Registered at 3771 STEFANI RD, CANTONMENT, FL 325337795 (Tel: 8506076910)

πŸ“
Business Mailing Address (Initial Record) January 08, 2018

Registered at 3771 STEFANI RD, CANTONMENT, FL 325337795 (Tel: 8506076910)

πŸ‘€
Provider Name / Credentials (Initial Record) January 08, 2018

Recorded as EVELYN COOPER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2018

Behavior Technician (license number reported to NPPES: FL 17-43518)

🟒
Initial NPI Registration & Enumeration January 08, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215444633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2018
Last Update: October 30, 2023
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.