NPI 1073494571 · live from the CMS NPI Registry
Aba Bedrock Mo LLC
Behavior Analyst in Saint Louis, MO. National Provider Identifier 1073494571, active.
NPI record
| NPI | 1073494571 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2055 Craigshire Dr, Saint Louis, MO 63146 |
| Practice phone | 385-563-1930 |
| Enumerated | September 10, 2025 |
| Last updated | September 10, 2025 |
| Authorized official | Mayer Kulefsky, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.