Active NPI
Lisa Ann Larose, M.ED, BCBA, LBA
- Behavior Analyst
- Creve Coeur, MO
National Provider Identifier
1275023814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2018015025
- Practice address
- 650 Office Pkwy
Creve Coeur, MO 63141-7103 - Phone
- (314) 838-1465
- NPI assigned
- May 17, 2018
- Last updated
- May 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2018015025 | MO | Primary |
Addresses
Primary practice location
650 Office Pkwy
Creve Coeur, MO 63141-7103
Mailing address
5821 Tholozan Ave
Saint Louis, MO 63109-1437
Phone (314) 201-0152
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018015025 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1275023814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 THOLOZAN AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091437",
"telephone_number": "314-201-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 OFFICE PKWY",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417103",
"telephone_number": "314-838-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "M.ED, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2018015025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- Lakshmi Naveen Adult & Geriatric Psychiatry LLC
- Presley White Lampros, FNP-C
- Emily Wilson Land, PLPC
- Lauren Landfried, RD, LD
- Nicole Lanius
- Derek Sloan Larson, M.D.
- Laser Spine Institute LL Sole MBR (Spine DME Solution LLC)
- Laser Spine Surgery Center of St. Louis, LLC
- Lasik-1 of St. Louis, LLC
- Jessica J. Lavalle, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.