Active NPI
Daniela Fonseca
- Behavior Analyst
- Saint Peters, MO
National Provider Identifier
1457044216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-74435
- Practice address
- 1421 Triad Center Dr
Saint Peters, MO 63376-7357 - Phone
- (623) 533-1771
- NPI assigned
- May 30, 2023
- 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 | 1-24-74435 | MO | Primary |
Addresses
Primary practice location
1421 Triad Center Dr
Saint Peters, MO 63376-7357
Mailing address
58 Woodlawn Dr
Saint Charles, MO 63301-2325
Phone (623) 533-1771
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism and Behavioral Spectrum LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Chesterfield, MO
- NPI 1780131300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1457044216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 WOODLAWN DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012325",
"telephone_number": "623-533-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 TRIAD CENTER DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767357",
"telephone_number": "623-533-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONSECA",
"first_name": "DANIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "1-24-74435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
- Katherine S Fischer, LPC, RPT
- Rhonda Jean Fitzgerald, MA, CCC-SLP
- Karen Marie Fitzpatrick, M.A., CCC-SLP
- Fka, Inc.
- Flourishing Kids Therapy & Lactation LLC
- Sandi Hopper Fontecchio, AU.D.
- Foot Healers Holdings - St. Louis, LLC
- Forefront Dermatology, S.C.
- Forefront Dermatology, S.C.
- Forever Diamond Home Care II
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.