REBECCA PEDERSON (NPI# 1396353371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396353371 |
| Entity Type | Individual |
| Full Name | REBECCA PEDERSON |
| Practice Address |
7566 Cornell Ave Saint Louis MO 63130-2813 |
| Mailing Address |
306 N Kensington Ave La Grange Park IL 60526-1870 |
| Practice Telephone | 3129652997 |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7566 CORNELL AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63130-2813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738794 | Megan Biscan | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-04-13 |
| 1316544729 | George Martz | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-10-08 |
| 1053920090 | Dacota Goodwin | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-07-27 |
| 1578171773 | Teresa Briegel | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-07-14 |
| 1457977795 | Julie Chan | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-06-23 |
| 1386265213 | Marcy Fuchs | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-05-01 |
| 1891316733 | Tynesha Oden | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-05-01 |
| 1306467246 | Yaritzia Castro-garcia | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-05-01 |
| 1265053482 | Corita Hinton | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
| 1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
| 1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
| 1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
| 1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
| 1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
| 1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
| 1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
| Find all providers in zip 63130 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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] |
| 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 |
| 1104449156 | Parker Ryan Light | Behavior Technician | 518 Selma Ave, Saint Louis, MO 63119-4142 | 2020-05-26 |
| 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 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63130 |
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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.