Active NPI
Emilie St. Clair
- Behavior Technician
- Mascoutah, IL
National Provider Identifier
1184403057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-336897
- Practice address
- 522 E Main St
Mascoutah, IL 62258-2240 - Phone
- (618) 566-0313
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | RBT-24-336897 | IL | Primary |
Addresses
Primary practice location
522 E Main St
Mascoutah, IL 62258-2240
Mailing address
1131 Roger Ave Apt 7
Swansea, IL 62226-1772
Phone (224) 406-5981
Other practice location 1
1 Bronze Pointe Blvd Ste 2A
Swansea, IL 62226-1045
Phone (833) 587-1784
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-336897 | IL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Development of California PC | Behavior Technician | Past | Accepting new patients |
| Trinity Services Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lockport, IL
- NPI 1609834191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1184403057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 ROGER AVE APT 7",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261772",
"telephone_number": "224-406-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 E MAIN ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "622582240",
"telephone_number": "618-566-0313"
}
],
"practiceLocations": [
{
"address_1": "1 Bronze Pointe Blvd Ste 2A",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622261045",
"country_code": "US",
"telephone_number": "833-587-1784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ST. CLAIR",
"first_name": "EMILIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-28",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-336897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mascoutah, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.