Brianna A Perez

Individual provider Active NPI Behavior Technician · Affton, MO

NPI 1194523902 · NPPES record last updated Mar 6, 2025

Key facts

NPI
1194523902
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-25-413761
Practice address
96 Grasso PLZ
Affton, MO 63123-3108
Phone
(636) 398-2515
Fax
(800) 687-5070
NPI assigned
Mar 6, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Support Now, LLC Current
since Mar 11, 2025
Accepting new patients

Locations

4721 S Cliff Ave
Ste 103
Independence, MO 64055
Phone (816) 381-9090

96 Grasso Plz
Saint Louis, MO 63123
Phone (636) 398-2515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-413761 Yes

Addresses

Primary practice location

96 Grasso PLZ
Affton, MO 63123-3108

Mailing address

4721 S Cliff Ave Ste 103
Independence, MO 64055-6969
Phone (816) 608-1956

Other providers in Affton, MO

All providers in Affton, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.