Provider Demographics
NPI:1700471067
Name:OUSLEY BEHAVIOR SERVICES, LLC
Entity Type:Organization
Organization Name:OUSLEY BEHAVIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUGEBAUER
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:573-529-3099
Mailing Address - Street 1:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:LOHMAN
Mailing Address - State:MO
Mailing Address - Zip Code:65053-0024
Mailing Address - Country:US
Mailing Address - Phone:573-533-2110
Mailing Address - Fax:573-533-2111
Practice Address - Street 1:3834 OXFORD RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-5341
Practice Address - Country:US
Practice Address - Phone:573-533-2110
Practice Address - Fax:573-533-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities