KRYSTLE ANDERSON (NPI# 1124363544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124363544 |
| Entity Type | Individual |
| Full Name | KRYSTLE ANDERSON |
| Credential | MA, BCBA |
| Practice Address |
650 Office Pkwy Creve Coeur MO 63141-7103 |
| Mailing Address |
8710 Eulalie Ave Brentwood MO 63144-2012 |
| Practice Telephone | 3144862311 |
| Mailing Telephone | 3144862311 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2012039557 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8710 Eulalie Ave, Brentwood, MO 631442012 | 3144862311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598256224 | Krystle Anderson | Adult Companion | 4289 Sw Battaglia Pl, Gresham, OR 97080-8645 | 2018-05-29 |
| Street Address |
650 OFFICE PKWY |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652286 | Alyssa Nicole Miles | Speech-Language Pathologist | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2019-10-31 |
| 1609336338 | Jennifer Lauren Niebrzydoski | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2019-03-20 |
| 1023572708 | Ebony Shaw | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2019-01-26 |
| 1578048039 | Ariel York | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2018-10-01 |
| 1275023814 | Lisa Ann Larose | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1396343406 | Precision Teaching Stl, LLC | Behavioral Analyst | 10425 Old Olive Street Rd # Ll2, Creve Coeur, MO 63141-5940 | 2020-10-12 |
| 1932560513 | Thea Rae Ervin | Behavioral Analyst | 12400 Olive Blvd Ste 340, Creve Coeur, MO 63141-5456 | 2016-03-10 |
| 1801215462 | Erik Corley | Behavioral Analyst | 13008 Montmartre Dr, Creve Coeur, MO 63141-6124 | 2014-04-10 |
| 1609336338 | Jennifer Lauren Niebrzydoski | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2019-03-20 |
| 1023572708 | Ebony Shaw | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2019-01-26 |
| 1578048039 | Ariel York | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2018-10-01 |
| 1275023814 | Lisa Ann Larose | Behavioral Analyst | 650 Office Pkwy, Creve Coeur, MO 63141-7103 | 2018-05-17 |
| 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 |
| 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 |
| 1376163253 | Julie Kay Vaia | Behavioral Analyst | 5671 County Road 441, Hannibal, MO 63401-6716 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.