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COMMUNITY & LONG-TERM CARE PSYCHIATRY LLC NPI 1528415536


NPI Information

NPI: 1528415536
Provider Name: COMMUNITY & LONG-TERM CARE PSYCHIATRY LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization
Address:
10004 KENNERLY RD
STE 362B
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 849-0450
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COMMUNITY & LONG-TERM CARE PSYCHIATRY LLC is a behavior analyst in Saint Louis, MO. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. COMMUNITY & LONG-TERM CARE PSYCHIATRY LLC NPI is 1528415536. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10004 KENNERLY RD
STE 362B
SAINT LOUIS, MO
ZIP 63128-141
Phone: (314) 849-0450
Fax: (314) 849-0159

The provider's authorized official is Betty Jane Dickerman .
The authorized official title is Billing Manager and has the following contact phone number (314) 849-0450.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 5/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior Analyst2015002634MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11265723407MEDICAIDMISSOURI
2156440097MEDICARE PINMISSOURI

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: 4/28/2024

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