Semaj Behavioral Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2012014239 Issued in MO

Legal business name

SEMAJ BEHAVIORAL SERVICES

Practice address

752 W Juniper LN
Nixa, MO 65714-7088

Phone

(318) 282-6152

NPI assigned

May 25, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Benny N Howard III

Title

Board Certified Behavior Analyst

Phone

(318) 282-6152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432512000000",
    "number": "1679952550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 W JUNIPER LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 W JUNIPER LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147088",
            "telephone_number": "318-282-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMAJ BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-05-25",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BENNY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BOARD CERTIFIED BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "318-282-6152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "2012014239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nixa, MO
• Providers in Nixa, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; 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.