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Elise Marie Bagley , BCBA

Behavior Analyst β€’ Arnold, MO

Active NPI 1053972380 Individual Practitioner Female Practitioner
Practice location in NPPES

4051 Jeffco Blvd Ste 3
Arnold, MO 630104261

Call 1636223007 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

4051 Jeffco Blvd Ste 3

Arnold, MO 630104261

Telephone 1636223007
Fax 6363232042
Organization at the Same NPPES Address or Phone
Owl Therapy Services Llc Facility NPI 1942815360

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 2 distinct additional practice-address records in Herculaneum, MO; Imperial, MO. 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

2019

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 Arnold and Missouri

3 active clinicians are listed under Behavior Analyst with a practice address in Arnold, MO (1,189 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

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: 2023-05-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MO 2021019217

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: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Secondary Practice Locations

447 Thurwell St

Herculaneum, MO 630481131

Phone: 3142232872

5158 Us Highway 61 67

Imperial, MO 630523426

Phone: 6362230070

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location May 06, 2023

Registered at 4051 JEFFCO BLVD STE 3, ARNOLD, MO 630104261 (Tel: 1636223007)

πŸ“
Updated Practice Location August 15, 2021

Registered at 5158 US HIGHWAY 61 67, IMPERIAL, MO 630523426 (Tel: 6362230070)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2021

Behavior Analyst (license number reported to NPPES: MO 2021019217)

πŸ‘€
Provider Name / Credentials Updated May 09, 2021

Recorded as ELISE BAGLEY, BCBA

βœ…
NPI Profile Active June 26, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 26, 2019

Registered at 447 THURWELL ST, HERCULANEUM, MO 630481131 (Tel: 3142232872)

πŸ“
Business Mailing Address (Initial Record) June 26, 2019

Registered at 447 THURWELL ST, HERCULANEUM, MO 630481131

πŸ‘€
Provider Name / Credentials (Initial Record) June 26, 2019

Recorded as ELISE BAGLEY, BCABA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2019

Behavior Analyst (license number reported to NPPES: MO 2019014818)

🟒
Initial NPI Registration & Enumeration June 26, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053972380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2019
Last Update: May 06, 2023
Sole Proprietor: No

Mailing Address

447 Thurwell St

Herculaneum, MO 630481131

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.