Divergent Behavioral Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

DIVERGENT BEHAVIORAL SERVICES LLC

Practice address

3259 E Sunshine St Ste D
Springfield, MO 65804-2143

Phone

(417) 323-2435

Fax

(417) 290-2234

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Tiffany MooreNPI 1710684782

Title

Owner

Phone

(417) 684-2332

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tiffany Lea Ann Moore

  • Behavior Analyst
  • Springfield, MO
  • NPI 1710684782
  NPD Authorized official
• Alexis Grotts

  • Behavior Technician
  • Springfield, MO
  • NPI 1154265106
  NPD (past)

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1689494643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 W BLAKEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101105",
            "telephone_number": "417-323-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3259 E SUNSHINE ST STE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042143",
            "telephone_number": "417-323-2435",
            "fax_number": "417-290-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-684-2332"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Dionysus, PSYD
• Russell T Dirksen, D.P.M.
• Discover Audiology, LLC
• Jonathan Distaulo, PLPC
• Kristi Ditzfeld, LPC, NCC
• Kathy A Divine
• Linda Marie Divine
• Tarrah Divine, FNP
• Anthony R Divito, MD
• Patricia Mary Dix, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.