NPI 1265917025 · live from the CMS NPI Registry
Blue Stars Therapy, LLC
Behavior Analyst in St. Louis, MO. National Provider Identifier 1265917025, active.
NPI record
| NPI | 1265917025 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 |
| Practice phone | 314-380-3088 |
| Mailing address | Po Box 179466, St. Louis, MO 63117 |
| Enumerated | September 27, 2018 |
| Last updated | September 27, 2018 |
| Authorized official | Bridget Hormberg, Co-Owner, Co-Founder |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.