Lyndsay Deane South, PA, ABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9237 Ward Pkwy Ste 240
Kansas City, MO 64114-3365

Phone

(816) 321-1414

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

No

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

Associate of Business Administration, Physician Assistant

Practice roles

Locations

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.

• Renu Brain Treatment Center, LLC

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1487229530
  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1376218511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-321-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY STE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-321-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "LYNDSAY",
        "middle_name": "DEANE",
        "credential": "PA, ABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malak Soudi
• Jeffrey Allen Soulliere, PLPC
• Daniel Ryan Sounakhen, DC
• Dennis Sourvanos, DDS
• Michelle Sousley
• Sara Southern, LICSW
• Southtown Family Dental LLC
• Southtown Womens Clinic LLC
• James L Southwell Jr., DO
• Southwest Care LLC

• Behavior Analyst in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.