Michelle Bohnak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2021009167 Issued in MO

Practice address

12110 Clayton Rd
Saint Louis, MO 63131-2599

Phone

(314) 605-8026

NPI assigned

Mar 5, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism and Behavioral Spectrum LLC

  dba AB Spectrum

  • Clinic/Center
  • Chesterfield, MO
  • NPI 1780131300
  NPD (past)

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1386239853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 KROEGER DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352233",
            "telephone_number": "314-605-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312599",
            "telephone_number": "314-605-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNAK",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2021009167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith A. Bohler, RPH
• Kenneth H Bohm, PH.D.
• Sarah Bohme, FNP-C
• Elizabeth Ann Bohn, PA-C
• Kathryn Bohn, LPC
• Erin Marie Bohne, COTA
• Norman Wilbert Bohne, RPH
• Donald David Bohnenkamp, MD
• Breanne Bohnert
• Robert David Bohnert, DNP, APRN, FNP-C

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.