Organization Active NPI

Synergy ABA

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1902290232
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2014011930 Issued in MO
Legal business name
SYNERGY ABA
Practice address
7542 Trenton Ave
Saint Louis, MO 63130-1316
Phone
(314) 254-3591
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Authorized official

Name
Mr. Brandon May, BCBA, LBA
Title
President
Phone
(314) 254-3591

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 2014011930 MO Primary
Community/Behavioral Health Agency 251S00000X 2014011930 MO
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 2014011930 MO

Addresses

Primary practice location

7542 Trenton Ave
Saint Louis, MO 63130-1316

Mailing address

7542 Trenton Ave
Saint Louis, MO 63130-1316
Phone (314) 254-3591

Other names 1

  • Elite ABA Services Doing business as

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1902290232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 TRENTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301316",
            "telephone_number": "314-254-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7542 TRENTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301316",
            "telephone_number": "314-254-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ABA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-254-3591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2014011930",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2014011930",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "2014011930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite ABA Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

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