NPIMap

Organization Active NPI

Owl Therapy Services LLC

  • Behavior Analyst
  • Arnold, MO
National Provider Identifier
1942815360
Registry record updated May 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
OWL THERAPY SERVICES LLC
Practice address
4051 Jeffco Blvd Ste 3
Arnold, MO 63010-4261
Phone
(636) 223-0070
Fax
(636) 323-2042
NPI assigned
Sep 11, 2020
Last updated
May 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2023

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

Authorized official

Name
Elise Marie Bagley, BCABANPI 1053972380
Title
Owner
Phone
(636) 224-6224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4051 Jeffco Blvd Ste 3
Arnold, MO 63010-4261

Mailing address

447 Thurwell St
Herculaneum, MO 63048-1131
Phone (636) 232-1016

Other practice location 1

447 Thurwell St
Herculaneum, MO 63048-1131
Phone (636) 232-1016

Other identifiers 1

IdentifierTypeStateIssuer
730087100MedicaidMO

National Provider Directory

National Provider Directory

Locations

4051 Jeffco Blvd
Ste 3
Arnold, MO 63010
Phone (636) 223-0070

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683331200000",
    "number": "1942815360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 THURWELL ST",
            "city": "HERCULANEUM",
            "state": "MO",
            "postal_code": "630481131",
            "telephone_number": "636-232-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 JEFFCO BLVD STE 3",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104261",
            "telephone_number": "636-223-0070",
            "fax_number": "636-323-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 Thurwell St",
            "address_purpose": "LOCATION",
            "city": "Herculaneum",
            "state": "MO",
            "postal_code": "630481131",
            "country_code": "US",
            "telephone_number": "636-232-1016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OWL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-224-6224",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730087100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.