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Active NPI 1639655442 Organization (Entity Type 2)

Dynamic Behavioral Services, Llc

Community/Behavioral Health • Naylor, MO

About Dynamic Behavioral Services, Llc NPI 1639655442 Summary

Dynamic Behavioral Services, Llc is a verified healthcare organization specializing in Community/Behavioral Health operating in Naylor, MO. Located at RR 61 BOX 3030, this facility provides patient care and medical services under National Provider Identifier (NPI) 1639655442.

Administrative operations and authorized compliance are overseen by Sharon Wagner (Member).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

Rr 61 Box 3030

Naylor, MO 639539414

Telephone 5734293761

Authorized Official Information

Authorized Contact Name

Sharon Wagner , LPC, LBA

Title / Role

Member

Official Telephone

5734293761

Facility Classifications & Specialties

Community/Behavioral Health Primary Taxonomy

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Sharon Wagner , LBA NPI 1215414594

Behavior Analyst

Naylor, MO

View Practitioner Profile →

Seth Wagner , RBT NPI 1548747827

Behavior Technician

Naylor, MO

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 15, 2018

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2018

Registered at RR 61 BOX 3030, NAYLOR, MO 639539414 (Tel: 5734293761)

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Updated Business Mailing Address July 15, 2018

Registered at RR 61 BOX 3030, NAYLOR, MO 639539414 (Tel: 5734293761)

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Organization / Clinic Name Updated July 15, 2018

Operating as DYNAMIC BEHAVIORAL SERVICES, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2018

Community/Behavioral Health

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Initial NPI Registration & Enumeration July 15, 2018

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1639655442

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 15, 2018

Last Update: July 15, 2018

Update or Correct Listing

Mailing Address

Rr 61 Box 3030

Naylor, MO 639539414

Phone: 5734293761

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.