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Tabitha K Carroll

Behavior Analyst β€’ Lees Summit, MO

Active NPI 1760042444 Individual Practitioner Female Practitioner
Practice location in NPPES

520 Ne Colbern Rd Ste 200
Lees Summit, MO 640864711

Call 8166434959 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

520 Ne Colbern Rd Ste 200

Lees Summit, MO 640864711

Telephone 8166434959

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 Lees Summit and Missouri

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lees Summit

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 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: 2024-09-17
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MO 2023027231

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.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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

Career & Practice History Timeline

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

13 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 17, 2024

Recorded as TABITHA CARROLL

πŸ“
Updated Practice Location August 04, 2023

Registered at 520 NE COLBERN RD STE 200, LEES SUMMIT, MO 640864711 (Tel: 8166434959)

πŸ“
Updated Business Mailing Address August 04, 2023

Registered at 520 NE COLBERN RD STE 200, LEES SUMMIT, MO 640864711 (Tel: 8166434959)

πŸ‘€
Provider Name / Credentials Updated August 04, 2023

Recorded as TABITHA CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2023

Behavior Technician

πŸ”„
NPI Profile Reactivated August 02, 2023

Record officially reactivated for active practice on August 02, 2023

⚠️
NPI Profile Deactivated July 07, 2023

NPPES lists this NPI as deactivated as of July 07, 2023; the reason is not published.

βœ…
NPI Profile Active June 16, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 16, 2019

Registered at 8143 NE 98TH TER, KANSAS CITY, MO 641577840 (Tel: 8165366043)

πŸ“
Business Mailing Address (Initial Record) June 16, 2019

Registered at 8143 NE 98TH TER, KANSAS CITY, MO 641577840 (Tel: 8165366043)

πŸ‘€
Provider Name / Credentials (Initial Record) June 16, 2019

Recorded as TABITHA CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration June 16, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760042444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2019
Last Update: September 17, 2024
Sole Proprietor: No

Mailing Address

520 Ne Colbern Rd Ste 200

Lees Summit, MO 640864711

Phone: 8166434959

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.