Kimberly Sue Streff, MS, CCC-SLP,BCBA,LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

2013028552 Issued in MO

Practice address

324 S Mason Rd
Creve Coeur, MO 63141-8029

Phone

(636) 221-9495

NPI assigned

Feb 26, 2007

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Continuum Education and Therapy

  • Multi-Specialty Clinic/Center
  • Creve Coeur, MO
  • NPI 1518694892
  NPD Authorized official
• Gateway Center for the Arts

  • Speech-Language Pathologist
  • Union, MO
  • NPI 1396152807

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1386770964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LEXINGTON OAKS CT",
            "city": "FORISTELL",
            "state": "MO",
            "postal_code": "633481479",
            "telephone_number": "636-221-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S MASON RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631418029",
            "telephone_number": "636-221-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "636-221-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1281 N Highway 47",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630841495",
            "country_code": "US",
            "telephone_number": "636-583-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STREFF",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "MS, CCC-SLP,BCBA,LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "114517",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2013028552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Creve Coeur, MO
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.