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Michael Harris

Behavior Technician β€’ Springfield, MO

Active NPI 1376191262 Individual Practitioner Male Practitioner
Practice location in NPPES

3023 S Fort Ave Ste B
Springfield, MO 658074217

Call 4178904656 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

3023 S Fort Ave Ste B

Springfield, MO 658074217

Telephone 4178904656
Fax 4177080889
Organization at the Same NPPES Address or Phone
The Arc Of The Ozarks Facility NPI 1962399204

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

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 Springfield and Missouri

80 active clinicians are listed under Behavior Technician with a practice address in Springfield, MO (3,713 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 80 clinicians have the CMS telehealth indicator.

0% of these 80 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: 2021-12-17
Behavior Technician Primary Specialty

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1801361282

Doctor of Psychology (Psy.D.)

Dr. Raymund Tan , MD

Psychiatry & Neurology - Psychiatry

NPI 1780876227

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
πŸ”„
NPI Profile Reactivated January 17, 2024

Record officially reactivated for active practice on January 17, 2024

πŸ“
Updated Practice Location January 17, 2024

Registered at 3023 S FORT AVE STE B, SPRINGFIELD, MO 658074217 (Tel: 4178904656)

πŸ“
Updated Business Mailing Address January 17, 2024

Registered at 3023 S FORT AVE STE B, SPRINGFIELD, MO 658074217 (Tel: 4178904656)

πŸ‘€
Provider Name / Credentials Updated January 17, 2024

Recorded as MICHAEL HARRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2024

Behavior Technician

⚠️
NPI Profile Deactivated December 17, 2021

NPPES lists this NPI as deactivated as of December 17, 2021; the reason is not published.

βœ…
NPI Profile Active September 03, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 03, 2019

Registered at 3023 S FORT AVE STE B, SPRINGFIELD, MO 658074217 (Tel: 4178904656)

πŸ“
Business Mailing Address (Initial Record) September 03, 2019

Registered at 3023 S FORT AVE STE B, SPRINGFIELD, MO 658074217 (Tel: 4178904656)

πŸ‘€
Provider Name / Credentials (Initial Record) September 03, 2019

Recorded as MICHAEL HARRIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration September 03, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376191262
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2019
Last Update: January 17, 2024
Sole Proprietor: No

Mailing Address

3023 S Fort Ave Ste B

Springfield, MO 658074217

Phone: 4178904656

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.