KELLY ANDERS (NPI# 1063969103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063969103 |
| Entity Type | Individual |
| Full Name | KELLY ANDERS |
| Practice Address |
1000 Moon Valley Ln Wright City MO 63390-2114 |
| Practice Telephone | 3142650336 |
| Mailing Telephone | 3142650336 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2015015155 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1000 MOON VALLEY LN |
| City | WRIGHT CITY |
| State | MO |
| Zip Code | 63390-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932470556 | Cheryl Parsons | Physical Therapist | #65 State Highway Aa, Wright City, MO 63390 | 2012-01-13 |
| 1356423982 | Joseph Herbert Gerard | Chiropractor | 409b Warren Avenue, Wright City, MO 63390 | 2006-10-20 |
| 1093790883 | Marcel E Haulard | Family Medicine | 305 W N 2nd St, Wright City, MO 63390 | 2005-12-14 |
| 1215069547 | Carol L Hohenstreet | Occupational Therapist | 402 North Service Rd, R-ii, Wright City, MO 63390-0198 | 2007-03-12 |
| 1780716019 | Rebecca L Mallett | Physical Therapist | Wright City R-ii School District, 402 North Service Road, Wright City, MO 63390-0198 | 2007-03-12 |
| 1679605844 | Rebecca Lynn Peters | Speech-Language Pathologist | Wright City R-ii School District, 402 North Service Road, Wright City, MO 63390-0198 | 2007-03-12 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1396291837 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy, Suite A, Wright City, MO 63390-1041 | 2016-08-25 |
| 1790983468 | Linda Sue Kettmann | Counselor | 201 North Cherry St, Wright City, MO 63390-1130 | 2007-07-04 |
| 1558559708 | Kathleen Y. Newman | Social Worker | 505 Staghorn Ln, Wright City, MO 63390-1823 | 2007-10-11 |
| Find all providers in zip 63390 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823832 | Julia Marie Adair | Behavioral Analyst | 84 Browning Dr, Wright City, MO 63390-3357 | 2019-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828906 | Davis Nicole Norber | Behavioral Analyst | 2 Stacy Dr, Saint Louis, MO 63132-4120 | 2020-10-14 |
| 1982202883 | Unearth Potential, LLC | Behavioral Analyst | 1907 S Moffet Ave, Joplin, MO 64804-1851 | 2020-10-13 |
| 1396343406 | Precision Teaching Stl, LLC | Behavioral Analyst | 10425 Old Olive Street Rd # Ll2, Creve Coeur, MO 63141-5940 | 2020-10-12 |
| 1487251369 | Megan A Martin | Behavioral Analyst | 23713 Bison Street, Mercer, MO 64661 | 2020-10-05 |
| 1023625746 | Omolara Akinola | Behavioral Analyst | 5243 Elk Trail Dr, Black Jack, MO 63033-7511 | 2020-09-27 |
| 1790398527 | Katie Evans | Behavioral Analyst | 2117 E Madison St, Springfield, MO 65802-3025 | 2020-08-31 |
| 1881205482 | Jaclyn Neugebauer | Behavioral Analyst | 3834 Oxford Rd, Jefferson City, MO 65109-5341 | 2020-08-17 |
| 1598375065 | Heather Ann Kulash | Behavioral Analyst | 3207 Halliday Ave Apt 2e, Saint Louis, MO 63118-1264 | 2020-08-08 |
| 1003432972 | Stacy R Klusmeier | Behavioral Analyst | 2809 Valley Creek Rd, Cape Girardeau, MO 63701-8938 | 2020-06-17 |
| 1013538123 | Bethany Rae Rackers | Behavioral Analyst | 1417 Highway P, Freeburg, MO 65035-2407 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHT CITY |
| Zip Code | 63390 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.