Healthcare Provider Details

I. General information

NPI: 1972467785
Provider Name (Legal Business Name): JOSHUA EVERETT PARRISH M.S., BCBA, LBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 E WOODHURST DR
SPRINGFIELD MO
65804-4282
US

IV. Provider business mailing address

1311 E WOODHURST DR
SPRINGFIELD MO
65804-4282
US

V. Phone/Fax

Practice location:
  • Phone: 417-889-3121
  • Fax: 417-881-2214
Mailing address:
  • Phone: 417-889-3121
  • Fax: 417-881-2214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2024048440
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: