NPIMap

Organization Active NPI

Establishing Interactions

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1295261048
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2011003584 Issued in MO
Legal business name
ESTABLISHING INTERACTIONS
Practice address
6190 Washington Blvd
Saint Louis, MO 63112-1208
Phone
(314) 817-6253
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Deirdre Walker Abernathy, PH.D., BCBA, LBA
Title
Behavior Analyst
Phone
(314) 479-8083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 2011003584 MO Primary

Addresses

Primary practice location

6190 Washington Blvd
Saint Louis, MO 63112-1208

Mailing address

6190 Washington Blvd
Saint Louis, MO 63112-1208
Phone (314) 817-6253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1295261048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 WASHINGTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121208",
            "telephone_number": "314-817-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 WASHINGTON BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121208",
            "telephone_number": "314-817-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTABLISHING INTERACTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "314-479-8083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2011003584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.