Organization Active NPI

Boyer ABA Services, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Marshall, MO
National Provider Identifier
1306400973
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Jun 10, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.