| Behavior Management Associates Pc | |
|
2702 Cunningham Ave Ste A Joplin MO 64804-1570 | |
| (417) 782-1910 | |
| (417) 782-1844 |
| Full Name | Behavior Management Associates Pc |
|---|---|
| Speciality | Psychologist |
| Location | 2702 Cunningham Ave, Joplin, Missouri |
| Authorized Official Name and Position | Denise England (OFFICE MANAGER) |
| Authorized Official Contact | 4177821910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Management Associates Pc 2702 Cunningham Ave Ste A Joplin MO 64804-1570 Ph: (417) 782-1910 | Behavior Management Associates Pc 2702 Cunningham Ave Ste A Joplin MO 64804-1570 Ph: (417) 782-1910 |
| NPI Number | 1669481495 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 04/11/2014 |
| Medicare PECOS PAC ID | 4688610603 |
|---|---|
| Medicare Enrollment ID | O20050630000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669481495 | NPI | - | NPPES |
| 505993709 | Medicaid | MO | |
| 100713230A | Medicaid | OK | |
| 200671810A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Stacy A Bray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689668345 PECOS PAC ID: 9537192364 Enrollment ID: I20050913000777 |
| Provider Name | Lindsey Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912085291 PECOS PAC ID: 0648368191 Enrollment ID: I20071116000053 |
| Provider Name | Douglas A Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043201221 PECOS PAC ID: 8426100512 Enrollment ID: I20100715000588 |
| Provider Name | Eric A Copeland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528349792 PECOS PAC ID: 5496997637 Enrollment ID: I20130816000808 |
| Provider Name | Tamika S Haynes-robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952647109 PECOS PAC ID: 0446535157 Enrollment ID: I20170321000408 |
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