Provider Demographics
NPI:1104668623
Name:TONEY, SYNTHIA (BCBA)
Entity type:Individual
Prefix:
First Name:SYNTHIA
Middle Name:
Last Name:TONEY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25141 SPRINGER RD
Mailing Address - Street 2:
Mailing Address - City:SWEET HOME
Mailing Address - State:OR
Mailing Address - Zip Code:97386-9622
Mailing Address - Country:US
Mailing Address - Phone:541-971-8895
Mailing Address - Fax:
Practice Address - Street 1:2532 SANTIAM HWY SE # 114
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-5211
Practice Address - Country:US
Practice Address - Phone:541-223-9601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1-25-85169103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst