Organization Active NPI

Kennedy ABA Mo LLC

  • Behavior Analyst
  • Lee's Summit, MO
National Provider Identifier
1295632057
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KENNEDY ABA MO LLC
Practice address
200 NE Missouri Rd
Lees Summit, MO 64086-4722
Phone
(888) 360-6664
Fax
(984) 266-6765
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Yitzchok Issac Cziment
Title
Owner
Phone
(888) 360-6664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

200 NE Missouri Rd
Lees Summit, MO 64086-4722

Mailing address

200 NE Missouri Rd Ste 200
Lees Summit, MO 64086-4722
Phone (888) 360-6664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1295632057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "888-360-6664",
            "fax_number": "984-266-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "888-360-6664",
            "fax_number": "984-266-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY ABA MO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "CZIMENT",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_middle_name": "ISSAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-360-6664"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_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 Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.