NPIMap

Organization Active NPI

Synthesis ABA LLC

  • Behavior Analyst
  • Portage, MI
National Provider Identifier
1255924916
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SYNTHESIS ABA LLC
Practice address
Kasten Industrial Park, Suit 110
Portage, MI 49002
Phone
(812) 320-8303
NPI assigned
Feb 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Mr. Muhammed S Conteh, M.ED., BCBA, LBANPI 1083180962
Title
Ceo, Bcba
Phone
(812) 320-8303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

Kasten Industrial Park, Suit 110
Portage, MI 49002

Mailing address

Kasten Industrial Park, Suit 110
Portage, MI 49002
Phone (812) 320-8303

National Provider Directory

National Provider Directory

Locations

8135 Coxs Dr
Ste 110
Portage, MI 49002
Phone (269) 210-2543

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1255924916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KASTEN INDUSTRIAL PARK, SUIT 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "812-320-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KASTEN INDUSTRIAL PARK, SUIT 110",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "812-320-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNTHESIS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "CONTEH",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO, BCBA",
        "authorized_official_telephone_number": "812-320-8303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.