Kelly Marie Schneider, BEHAVIOR TECHNICIAN

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

842 Pitman Hill Rd
Weldon Spring, MO 63304-7513

Phone

(314) 607-9800

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1154949634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 PITMAN HILL RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047513",
            "telephone_number": "314-607-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 PITMAN HILL RD",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047513",
            "telephone_number": "314-607-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donkenson L Rousseau, APRN
• Kristen Ruttencutter, MA,LPC
• Julianne Sasser, LPTA
• Lauren Whitney Schenck, RN
• Jessica Ann Schmidt, RBT
• Lisa Schoenherr
• Shannon Ankenbrandt,DDS,LLC
• Gina Lee Shelley, M.A., CCC-SLP
• Kaitlyn Paige Shipman, BCBA
• Anna M Sides, RN

• Behavior Technician in Weldon Spring, MO
• Providers in Weldon Spring, MO by specialty
• Behavior Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.