Thrivergent Behavioral Services, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

THRIVERGENT BEHAVIORAL SERVICES, LLC

Practice address

3831 Frederick Ave # 212
Saint Joseph, MO 64506-3020

Phone

(816) 888-6226

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Burton, LMSW, BCBANPI 1598309627

Title

Owner

Phone

(816) 888-6226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Burton, LMSW

  • Behavior Analyst
  • Clarksdale, MO
  • NPI 1598309627
  NPD Authorized official

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1063135085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 FREDERICK AVE # 212",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063020",
            "telephone_number": "816-888-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 FREDERICK AVE # 212",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063020",
            "telephone_number": "816-888-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVERGENT BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-888-6226",
        "authorized_official_credential": "LMSW, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey Thompson, LMSW
• Kaitlin Thompson
• Kera Thompson, FNP
• Byron Lee Thornton, M.D.
• Michelle Thornton, PLPC
• Bailey Renee Thuston, DPT
• Treiy Tinich, STUDENT
• Tobin Eye Institute
• Tobin Optical Center
• Robert Francis Tobin, M.D.

• Behavior Analyst in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.