OrganizationActive
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NPI 1144177205 · Behavior Technician · Nixa, MO
Provider details
- NPI number
- 1144177205
- Entity type
- Organization
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Samantha Hamburg, Co-Owner(417) 268-8992
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
208 Shady Acres Circle
Nixa, MO 65714
Phone: (417) 597-3828
Approximate (ZIP-level) locationGet directions
Mailing address
208 Shady Acres Cir
Nixa, MO 65714-6709
Registry dates
- Enumerated
- 2026-03-16
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.