Sally Lavigne, MA, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2016035609 Issued in MO

Practice address

910 W 14TH St Ste 230
Washington, MO 63090-7003

Phone

(573) 480-0440

NPI assigned

Feb 6, 2017

Last updated

Jan 22, 2025By the provider in NPPES

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)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloom Behavior Services LLC

  • Behavior Analyst
  • Washington, MO
  • NPI 1295329654
  NPD Authorized official

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1437697844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W 14TH ST STE 230",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630907003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 14TH ST STE 230",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630907003",
            "telephone_number": "573-480-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Ladera Ln",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630905763",
            "country_code": "US",
            "telephone_number": "573-480-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "SALLY",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2016035609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Lamp
• Charles Edward Landis, DO
• Jill Lange, DPT
• Candy Lynn Larson-Soete, MSPT
• Joseph M Laventure, DMD
• Learn to Live Clinical Services LLC
• Jon Patrick Lebsack, D.D.S.
• Joshua E Lefler, M.D
• Legacy Healthcare Services Inc.
• Richard L Lemons, RPH

• Behavior Analyst in Washington, MO
• Providers in Washington, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.