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Deactivated NPI 1376191262 Deactivated / Inactive NPI Male Practitioner

Michael Harris

Behavior Technician • Springfield, MO

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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, Michael Harris has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 03, 2019
NPI Deactivation Date December 17, 2021
Total Practice Duration ~2 Years of Practice (2019 – 2021)

Professional Overview & Biography Verified Profile Summary

Michael Harris was a registered Behavior Technician practicing in Springfield, MO. Throughout an active medical career spanning 2 years, Michael Harris provided care at the practice location at 3023 S FORT AVE STE B until profile deactivation on 2021-12-17.

Practice Location & Contact Primary Location

Practice Address

3023 S Fort Ave Ste B

Springfield, MO 658074217

Telephone 4178904656
Fax 4177080889
Associated Practice Facility / Clinic
🏢 The Arc Of The Ozarks Facility NPI 1962399204

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Springfield, MO

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

Practicing in Springfield, MO (3729 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: 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Leah Gossard

Occupational Therapist

NPI 1023784121
Niki King

Speech-Language Pathologist

NPI 1043935158
Samantha Tennyson

Speech-Language Pathologist

NPI 1073289658
Madelyn Robinson , PTA

Physical Therapy Assistant

NPI 1124975792

Physical Therapist Assistant

Casandra Smith

Behavior Analyst

NPI 1144163106
Kyla Tree

Speech-Language Pathologist

NPI 1144765207

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 17, 2024

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

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Updated Business Mailing Address January 17, 2024

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

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Provider Name / Credentials Updated January 17, 2024

Recorded as MICHAEL HARRIS

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

Behavior Technician

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NPI Profile Deactivated December 17, 2021

Record deactivated on December 17, 2021

NPI Profile Active September 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 03, 2019

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

📍
Updated Business Mailing Address September 03, 2019

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

👤
Provider Name / Credentials Updated September 03, 2019

Recorded as MICHAEL HARRIS

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

Behavior Technician

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Initial NPI Registration & Enumeration September 03, 2019

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: 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
Deactivation Date: December 17, 2021
Sole Proprietor: No

Mailing Address

3023 S Fort Ave Ste B

Springfield, MO 658074217

Phone: 4178904656

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.