NPI 1144995416 · live from the CMS NPI Registry
Shelby Blecha, BCBA
Behavior Analyst in Ballwin, MO. National Provider Identifier 1144995416, active.
NPI record
| NPI | 1144995416 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 14733 Clayton Rd, Ballwin, MO 63011 |
| Practice phone | 636-248-7841 |
| Mailing address | 4134 Paule Ave, Saint Louis, MO 63125 |
| Enumerated | August 10, 2021 |
| Last updated | December 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.