Active NPI
Thiago W Oliveira Mendes
- Behavior Technician
- Saint Louis, MO
National Provider Identifier
1225908296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1317720
- Practice address
- 601 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 872-3345
- NPI assigned
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1317720 | MO | Primary |
Addresses
Primary practice location
601 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
601 S New Ballas Rd
Saint Louis, MO 63141-8221
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 |
|---|---|---|---|
| BACB1317720 | MO | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1225908296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-872-3345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEIRA MENDES",
"first_name": "THIAGO",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": "BACB1317720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Olive Ambulatory Surgery Center, LLC
- Olive Branch Home Health Care
- Olive Surgical Group, LTD.
- Hallie Katherine Olive, B.A.
- Marcos Vinicius Oliveira Marques, MD
- Brian Jospeh Oliveira, DDS
- Gisele Ramos Oliveira, M.D. M.SC. PH.D.
- Jose L Oliver Segarra
- Carol Lynne Oliver, MBA, MA, LPC
- Ella Blythe Oliver
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.