PARKER RYAN LIGHT


Address: 518 Selma Ave, Saint Louis, MO 63119-4142
Phone: 3149108371

PARKER RYAN LIGHT (NPI# 1104449156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104449156
Entity Type Individual
Full Name PARKER RYAN LIGHT
Practice Address 518 Selma Ave
Saint Louis
MO 63119-4142
Practice Telephone 3149108371
Enumeration Date 2020-05-26
Last Update Date 2020-05-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12747 Olive Blvd Ste 300, Saint Louis, MO 631416269 8334908535

Office Location

Street Address 518 SELMA AVE
City SAINT LOUIS
State MO
Zip Code 63119-4142

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NPI Name Taxonomy Address Enumeration
1114525631 Kaylen A Howard Specialist/Technologist No, No, MO 63119 2020-10-16
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1407308018 Tyler Clark Student in an Organized Health Care Education/Training Program 7785 Keswick Pl, Saint Louis, MO 63119 2016-10-30
1396109880 Ritesh Gandhi Family Medicine 7345 Watson Rd Ste 203, Saint Louis, MO 63119 2016-04-11
1568834489 Antonio Robinson Counselor 330 N. Gore, Great Circle, Saint Louis, MO 63119 2015-10-30
1922484039 Odessa Baker X Dietary Manager 525 N. Laclede Station Road, St. Louis, MO 63119 2015-07-31
1194114694 Laura Maher Social Worker 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 2015-01-21
1427314046 Dick (richard) Ralph Brummett Family Medicine 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 2012-04-09
1972872935 Dolliene A. Raabe Social Worker 8050 Watson Road, Suite 201, St. Louis, MO 63119 2011-12-21
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Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881207264 Kenyatta Dakesha Cole Behavior Technician 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 2020-08-26
1326658527 Danielle Rose Vaughn Behavior Technician 4251 Botanical Ave Apt B, Saint Louis, MO 63110-3520 2020-08-03
1023636412 Abby Bialeschki Behavior Technician 7043 Creekview Trl Apt 204, Saint Louis, MO 63123-2459 2020-07-11
1033738794 Megan Biscan Behavior Technician 7566 Cornell Ave, Saint Louis, MO 63130-2813 2020-04-13
1275163867 Dex West Behavior Technician 4728 Milentz Ave, Saint Louis, MO 63116-1209 2020-01-22
1427696756 Jamila Moore Behavior Technician 3934 Pennsylvania Ave Apt 2fl, Saint Louis, MO 63118-4445 2019-12-17
1376192849 Michael Stuart Shadwell Behavior Technician 3814 Wilmington Ave, Saint Louis, MO 63116-3221 2019-09-08
1710452016 Fayshia Latise Jones Behavior Technician 2912 Arsenal St, Saint Louis, MO 63118-2203 2018-10-12
1235617812 Khadijah Motley Behavior Technician 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 2018-08-05
1891233169 Darrick Carter Behavior Technician 4425 Floriss Pl, Saint Louis, MO 63115-3104 2017-02-07
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63119

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Dataset Information

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.

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