Michael Sowa II, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25721

Practice address

5232 Delor St
Saint Louis, MO 63109-2904

Phone

(314) 944-5458

NPI assigned

Feb 2, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• ABA Village Care LLC

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1639858418
  NPD Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1376081026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 DELOR ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092904",
            "telephone_number": "850-336-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 DELOR ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092904",
            "telephone_number": "314-944-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWA",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-25721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Family Chiropractic LLC
• Southwest Pediatrics, Inc.
• Southwestern Hearing Aid Company
• Celeste Marie Souza, MSW, LCSW
• Bhargavi Shashikant Sovani, MD
• Chloe Sowell
• Kailee Anne Sowers
• Sarin Abiola Soyemi, MD
• Oriyomi Soyoye, RN
• Space for Grace, LLC

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.