Organization Active NPI

Learning Momentum

  • Behavior Analyst
  • Lake St Louis, MO
National Provider Identifier
1679010094
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2011005433 Issued in MO
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

Updated by the provider on Jan 23, 2017

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1-05-2152OtherMOBCBA

Other names 1

  • Rage to Reason Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.