Organization Active NPI

Inclusive ABA Mo LLC

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1306635909
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on May 1, 2025

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.