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Deactivated NPI 1811630007 Deactivated / Inactive NPI Female Practitioner

Bethany Pearson

Behavior Analyst • Ankeny, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bethany Pearson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 15, 2022
NPI Deactivation Date July 08, 2025
Total Practice Duration ~3 Years of Practice (2022 – 2025)

Professional Overview & Biography Verified Profile Summary

Bethany Pearson was a registered Behavior Analyst practicing in Ankeny, IA. Throughout an active medical career spanning 3 years, Bethany Pearson provided care at the practice location at 1250 SW STATE ST STE A until profile deactivation on 2025-07-08.

Practice Location & Contact Primary Location

Practice Address

1250 Sw State St Ste A

Ankeny, IA 500232555

Telephone 5153049349
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Ankeny, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
31 Specialists

Practicing in Ankeny, IA (319 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IA BA-01283

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Samuel Huhn

Behavior Technician

NPI 1013878701
Estefany Mercado

Behavior Technician

NPI 1164270484
Karlie Maxwell

Behavior Analyst

NPI 1538701016
Emma Beauchamp

Behavior Technician

NPI 1659194959
Laura Lotthammer , BCBA

Behavior Analyst

NPI 1780228270

Board Certified Behavior Analyst

Talia Nelson

Behavior Technician

NPI 1891495701

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 16, 2025

Registered at 1250 SW STATE ST STE A, ANKENY, IA 500232555 (Tel: 5153049349)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2025

Behavior Analyst (License #BA-01283 in IA)

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Updated Practice Location August 09, 2025

Registered at 1100 HAXTON DR UNIT 115, FORT COLLINS, CO 805256213 (Tel: 9703058642)

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Updated Business Mailing Address August 09, 2025

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

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Provider Name / Credentials Updated August 09, 2025

Recorded as BETHANY PEARSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2025

Behavior Technician

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NPI Profile Deactivated July 08, 2025

Record deactivated on July 08, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Behavior Technician

NPI Profile Active April 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2022

Registered at 1100 HAXTON DR UNIT 115, FORT COLLINS, CO 805256213 (Tel: 9703058642)

📍
Updated Business Mailing Address April 15, 2022

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

👤
Provider Name / Credentials Updated April 15, 2022

Recorded as BETHANY PEARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2022

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811630007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2022
Last Update: December 16, 2025
Deactivation Date: July 08, 2025
Sole Proprietor: No

Mailing Address

21600 Oxnard St Ste 1800

Woodland Hills, CA 913677807

Phone: 8183452345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.