Active NPI
Inclusive ABA Mo LLC
- Behavior Analyst
- Saint Louis, MO
National Provider Identifier
1306635909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- INCLUSIVE ABA MO LLC
- Practice address
- 12747 Olive Blvd Ste 300B
Saint Louis, MO 63141-6269 - Phone
- (303) 616-1188
- NPI assigned
- May 1, 2025
- 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
- Judy Miller
- Title
- VP of Operations
- Phone
- (303) 616-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
12747 Olive Blvd Ste 300B
Saint Louis, MO 63141-6269
Mailing address
1525 Prospect St Ste 603
Lakewood, NJ 08701-4642
National Provider Directory
National Provider DirectoryLocations
12747 Olive Blvd
Ste 300B
Saint Louis, MO 63141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1306635909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 PROSPECT ST STE 603",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087014642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12747 OLIVE BLVD STE 300B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416269",
"telephone_number": "303-616-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCLUSIVE ABA MO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "303-616-1188"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.