Syzygy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SYZYGY, LLC

Practice address

676 W Pullman Rd
#235
Moscow, ID 83843-2061

Phone

(208) 874-7969

NPI assigned

Dec 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathan Lyon, M.S., BCBANPI 1285065102

Title

Behavior Analyst

Phone

(208) 874-7969

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Lyon

  • Behavior Analyst
  • Moscow, ID
  • NPI 1285065102
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1053856336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 W PULLMAN RD",
            "address_2": "#235",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432061",
            "telephone_number": "208-874-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 W PULLMAN RD",
            "address_2": "#235",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432061",
            "telephone_number": "208-874-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYZYGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "208-874-7969",
        "authorized_official_credential": "M.S., BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Thomas Strauss
• Jessica Katharine Strong, MD
• Keri Noel Sullivan-Walker, PHARMD
• Erica Anne Swanger, LMP
• Nevada Rae Sweeney, O.D.
• Ashley Ann Tadehara
• Quinton Tapp
• Marion Elizabeth Teal-Atwood, LMP
• Jasmine Telford
• The Evangelical Lutheran Good Samaritan Society

• Behavior Analyst in Moscow, ID
• Providers in Moscow, ID by specialty
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.