Healthcare Provider Details

I. General information

NPI: 1851236301
Provider Name (Legal Business Name): TRUE PROGRESS THERAPY MO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 N BROADWAY
SAINT LOUIS MO
63102-2711
US

IV. Provider business mailing address

705 CROSS ST STE 260
LAKEWOOD NJ
08701-4029
US

V. Phone/Fax

Practice location:
  • Phone: 732-607-8783
  • Fax:
Mailing address:
  • Phone: 732-607-8783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ALEX TASHMAN
Title or Position: DIRECTOR
Credential:
Phone: 732-607-8783