MRS. SHELLEY LIST M. ED. BCBA NPI 1518136589

NPI Information

  • NPI: 1518136589
  • Provider Name: MRS. SHELLEY LIST, M. ED. BCBA
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Individual
  • Address: 7741 GANNON AVE
    SAINT LOUIS, MO
    ZIP 63130
  • Phone: (314) 725-9078

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NPI Details

MRS. Shelley List, M. ED. BCBA is an intellectual and developmental disabilities in Saint Louis, MO. MRS. Shelley List, M. ED. BCBA NPI is 1518136589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7741 GANNON AVE
SAINT LOUIS, MO
ZIP 63130-822
Phone: (314) 725-9078

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral1-03-1348MISSOURINo
2103TM1800XPsychologistIntellectual and Developmental Disabilities1-03-1348MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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