MEDICARE: MISS SYNTHIA DENICE TONEY M.A., BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-85169	OR

General Provider Information

NPI Number	:	1104668623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS SYNTHIA DENICE TONEY M.A., BCBA

Provider Business Mailing Address
First Line	:	25141 SPRINGER RD
Second Line	:
City	:	SWEET HOME
State	:	OR
Zip	:	97386-9622
Country	:	US
Telephone Number	:	541-971-8895
Fax Number	:

Provider Business Practice Location Address
First Line	:	2532 SANTIAM HWY SE # 114
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-5211
Country	:	US
Telephone Number	:	541-223-9601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	01/06/2026

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