NPI 1124363544 · live from the CMS NPI Registry
Krystle Anderson, MA, BCBA
Behavior Analyst in Creve Coeur, MO. National Provider Identifier 1124363544, active.
NPI record
| NPI | 1124363544 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 650 Office Pkwy, Creve Coeur, MO 63141 |
| Practice phone | 314-486-2311 |
| Mailing address | 8710 Eulalie Ave, Brentwood, MO 63144 |
| Enumerated | December 11, 2012 |
| Last updated | October 22, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2012039557 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.