Individual provider Active NPI

Renata Collett, BCBA, LBA

  • Behavior Analyst
  • Saint Peters, MO
National Provider Identifier
1013615715
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
94 Hollister CT
Saint Peters, MO 63376-7837
Phone
(314) 305-0041
Fax
(314) 338-4159
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

94 Hollister CT
Saint Peters, MO 63376-7837

Mailing address

94 Hollister CT
Saint Peters, MO 63376-7837
Phone (314) 305-0041

Other practice location 1

2316 Saint Clair Ave
Brentwood, MO 63144-1644
Phone (314) 799-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1013615715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 HOLLISTER CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767837",
            "telephone_number": "314-305-0041",
            "fax_number": "314-338-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 HOLLISTER CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767837",
            "telephone_number": "314-305-0041",
            "fax_number": "314-338-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 Saint Clair Ave",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631441644",
            "country_code": "US",
            "telephone_number": "314-799-9312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLETT",
        "first_name": "RENATA",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.