NPIMap

Organization Active NPI

My World ABA LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, MO
National Provider Identifier
1508415175
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MY WORLD ABA LLC
Practice address
3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
Phone
(417) 818-5784
Fax
(417) 315-8621
NPI assigned
Sep 6, 2019
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Amanda Lea Mizer, BCBANPI 1558856716
Title
Owner Bcba
Phone
(573) 280-4559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045

Mailing address

3048 S Clifton Ave Ste 112
Springfield, MO 65807-6045
Phone (417) 818-5784

National Provider Directory

National Provider Directory

Locations

3048 S Clifton Ave
Ste 112
Springfield, MO 65807
Phone (417) 818-5784

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1508415175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "417-818-5784",
            "fax_number": "417-315-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 S CLIFTON AVE STE 112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076045",
            "telephone_number": "417-818-5784",
            "fax_number": "417-315-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY WORLD ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "MIZER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER BCBA",
        "authorized_official_telephone_number": "573-280-4559",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.