Active NPI
Boyer ABA Services, LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Marshall, MO
National Provider Identifier
1306400973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- BOYER ABA SERVICES, LLC
- Practice address
- 22734 Pioneer LN
Marshall, MO 65340-4744 - Phone
- (660) 631-3153
- NPI assigned
- Apr 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly M. Boyer, MS, BCBA, LBA
- Title
- Owner/Administrator
- Phone
- (660) 631-3153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
22734 Pioneer LN
Marshall, MO 65340-4744
Mailing address
22734 Pioneer LN
Marshall, MO 65340-4744
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560124800000",
"number": "1306400973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22734 PIONEER LN",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653404744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22734 PIONEER LN",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653404744",
"telephone_number": "660-631-3153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYER ABA SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-29",
"last_updated": "2019-06-10",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "660-631-3153",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, BCBA, LBA"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.