Organization
MY WORLD ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LEA MIZER BCBA (OWNER BCBA)
(573) 280-4559
Entity
Organization
Contact information
Practice address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 818-5784
(417) 315-8621
Mailing address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 818-5784
(417) 315-8621
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
02/22/2022
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