CHRISTINA BOURBON (NPI# 1558821447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558821447 |
| Entity Type | Individual |
| Full Name | CHRISTINA BOURBON |
| Credential | M.ED, PLBA |
| Practice Address |
11140 S Towne Sq Ste 100 Saint Louis MO 63123-7830 |
| Practice Telephone | 3148453900 |
| Practice Fax Number | 3148453901 |
| Mailing Telephone | 3148453900 |
| Mailing Fax Number | 3148453901 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | 2019006849 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477015485 | Christina S Bourbon | Speech-Language Pathologist | 607 S Westland Ave Apt 10, Tampa, FL 33606-2460 | 2019-04-01 |
| Street Address |
11140 S TOWNE SQ STE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63123-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780144022 | Michelle Auer | Assistant Behavior Analyst | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-22 |
| 1881250801 | Maria Mccauley | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-05-15 |
| 1669036612 | Brandi Verell | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-04-25 |
| 1790349744 | Margaret Meyer | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-04-25 |
| 1265993596 | Stephanie Darroch | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-28 |
| 1780145094 | Josh Wuerffel | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-28 |
| 1720549066 | Mary Wolf | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-28 |
| 1487115226 | Michael Cundiff | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-26 |
| 1932669801 | Mike Mcclelland | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-25 |
| 1871053785 | Kimberly Turner | Behavior Technician | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1780144022 | Michelle Auer | Assistant Behavior Analyst | 11140 S Towne Sq Ste 100, Saint Louis, MO 63123-7830 | 2019-03-22 |
| 1376084178 | Cassandra Lichtenberg | Assistant Behavior Analyst | 7049 Pershing Ave, Saint Louis, MO 63130-4319 | 2017-03-13 |
| 1235775248 | National Mentor Services, LLC | Assistant Behavior Analyst | 11872 Westline Industrial Dr Ste 180, Saint Louis, MO 63146-3331 | 2019-11-25 |
| 1902463029 | Wellhealth | Assistant Behavior Analyst | 6113 Ridge Ave, Saint Louis, MO 63133-2616 | 2019-05-23 |
| 1124508288 | Megan Violi | Assistant Behavior Analyst | 650 Office Pkwy, Saint Louis, MO 63141-7103 | 2018-08-17 |
| 1255849048 | Lisa Ann Flake | Assistant Behavior Analyst | 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182236 | Victoria Moore | Assistant Behavior Analyst | 495 Shade Tree Ln, Farmington, MO 63640-7708 | 2020-04-03 |
| 1598327595 | Southeast Behavior Intervention & Consultation | Assistant Behavior Analyst | 373 Rylane, Jackson, MO 63755-8730 | 2019-07-01 |
| 1841756509 | Perspectives Preparatory Academy | Assistant Behavior Analyst | 1601 E Republic Rd, Springfield, MO 65804-6526 | 2019-02-18 |
| 1558809889 | Johnna Burton | Assistant Behavior Analyst | 180 Cemetery Rd., Neosho, MO 64850 | 2017-02-07 |
| 1598378358 | Emily Joyce | Assistant Behavior Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2020-08-30 |
| 1881165934 | Tonia Dolan | Assistant Behavior Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2018-12-16 |
| 1851862908 | Thomas Williams | Assistant Behavior Analyst | 338 Broadway St Ste 301, Cape Girardeau, MO 63701-7331 | 2018-12-16 |
| 1316487804 | Jenny Hartge | Assistant Behavior Analyst | 12400 Olive Blvd, Suite 340, St. Louis, MO 63141 | 2017-03-02 |
| City | SAINT LOUIS |
| Zip Code | 63123 |
Please comment or provide details below to improve the information on CHRISTINA BOURBON.
| 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.