NPI 1689732620 · live from the CMS NPI Registry
Behavior Intervention Services
Behavior Analyst in Maryland Heights, MO. National Provider Identifier 1689732620, active.
NPI record
| NPI | 1689732620 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2644 Metro Blvd, Maryland Heights, MO 63043 |
| Practice phone | 314-395-9375 |
| Enumerated | December 4, 2006 |
| Last updated | May 3, 2017 |
| Authorized official | Kimberly Salls, Owner/Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.