Individual provider Active NPI

Sydney Jean Starr

  • Behavior Technician
  • Springfield, MO
National Provider Identifier
1306609441
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-273458 Issued in MO
Practice address
3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
Phone
(417) 818-5784
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-273458 MO Primary

Addresses

Primary practice location

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045

Mailing address

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
Phone (417) 818-5784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-23-273458MOMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
My World ABA LLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

3048 S Clifton Ave
Ste 112
Springfield, MO 65807
Phone (417) 818-5784

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1306609441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "417-818-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "417-818-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "SYDNEY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MO",
            "license": "RBT-23-273458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.