Provider Demographics
NPI:1558018473
Name:PAUL, JAMES GERALD (MA, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:GERALD
Last Name:PAUL
Suffix:
Gender:M
Credentials:MA, BCBA, LBA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10875 GRANDVIEW DR STE 2200
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1510
Mailing Address - Country:US
Mailing Address - Phone:913-214-1120
Mailing Address - Fax:
Practice Address - Street 1:913 SHEIDLEY AVE
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9514
Practice Address - Country:US
Practice Address - Phone:816-301-4533
Practice Address - Fax:816-439-8018
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLBA00725103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2024026930OtherLBA
1-24-71336OtherBACB