Active NPI
Learning Momentum
- Behavior Analyst
- Lake St Louis, MO
National Provider Identifier
1679010094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2011005433
- Legal business name
- LEARNING MOMENTUM
- Practice address
- 1000 Edgewater PT Ste 103
Lake St Louis, MO 63367-2954 - Phone
- (636) 265-1721
- NPI assigned
- Jan 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amelia Jean Buie, BCBA
- Title
- Ceo
- Phone
- (636) 448-3872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2011005433 | MO | Primary |
Addresses
Primary practice location
1000 Edgewater PT Ste 103
Lake St Louis, MO 63367-2954
Mailing address
2314 Highway C
Old Monroe, MO 63369-2404
Phone (636) 665-5191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-05-2152 | Other | MO | BCBA |
Other names 1
- Rage to Reason
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Old Monroe, MO
- NPI 1184923583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485129600000",
"number": "1679010094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 HIGHWAY C",
"city": "OLD MONROE",
"state": "MO",
"postal_code": "633692404",
"telephone_number": "636-665-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EDGEWATER PT STE 103",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633672954",
"telephone_number": "636-265-1721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEARNING MOMENTUM",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A",
"authorized_official_last_name": "BUIE",
"authorized_official_first_name": "AMELIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "636-448-3872",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2011005433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA",
"identifier": "1-05-2152",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rage to Reason",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.