Organization
SYNERGY ABA
Active
Other names
Elite ABA Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON MAY BCBA, LBA (PRESIDENT)
(314) 254-3591
Entity
Organization
Contact information
Practice address
7542 TRENTON AVE, SAINT LOUIS, MO 63130-1316
(314) 254-3591
Mailing address
7542 TRENTON AVE, SAINT LOUIS, MO 63130-1316
(314) 254-3591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2014011930
MO
251S00000X
Community/Behavioral Health Agency
2014011930
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
2014011930
MO
Other
Enumeration date
03/25/2015
Last updated
12/22/2015
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