Krystle Anderson, MA, BCBA
Individual provider Active NPI Behavior Analyst · Creve Coeur, MO
NPI 1124363544 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1124363544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 2012039557 (MO)
- Practice address
- 650 Office Pkwy
Creve Coeur, MO 63141-7103 - Phone
- (314) 486-2311
- NPI assigned
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012039557 | MO | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2012039557 | MO | Yes |
Addresses
Primary practice location
650 Office Pkwy
Creve Coeur, MO 63141-7103
Mailing address
8710 Eulalie Ave
Brentwood, MO 63144-2012
Phone (314) 486-2311
Other practice location 1
8710 Eulalie Ave
Brentwood, MO 63144-2012
Phone (314) 486-2311
Other providers in Creve Coeur, MO
- Alex Sharifian D.D.S., Creve Coeur Dentistry, P.C.
- Maggie Algya
- Align Health & Menopause Clinic LLC
- Allies 4 Health LLC
- Kelsey Lauren Anderson
- Lindsey Nicole Anderson
- Andrew Zemcuznikov, LLC
- Murray Howard Appelbaum
- Benjamine Armistead
- Arnone Specific Chiropractic
All providers in Creve Coeur, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.