Active NPI
Jennifer Lauren Niebrzydoski, BCBA
- Behavior Analyst
- Creve Coeur, MO
National Provider Identifier
1609336338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-12048
- Practice address
- 650 Office Pkwy
Creve Coeur, MO 63141-7103 - Phone
- (314) 479-4042
- NPI assigned
- Mar 20, 2019
- 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 | 1-12-12048 | MO | Primary |
Addresses
Primary practice location
650 Office Pkwy
Creve Coeur, MO 63141-7103
Mailing address
650 Office Pkwy
Creve Coeur, MO 63141-7103
Phone (314) 303-0849
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 |
|---|---|---|---|
| ABA Consulting Services, 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.
-
- Specialist
- Ballwin, MO
- NPI 1952508277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556409600000",
"number": "1609336338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 OFFICE PKWY",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417103",
"telephone_number": "314-303-0849"
},
{
"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": "314-479-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEBRZYDOSKI",
"first_name": "JENNIFER",
"middle_name": "LAUREN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2019-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "1-12-12048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- New Beginnings Health Care Services LLC
- New Day Healthcare, LLC
- Hillary Ann Newsome, MD
- Next Step Foot and Ankle Centers, Inc
- Next Step Foot and Ankle Centers, Inc.
- Nikhat Salamat Pulmonary Associates LLC
- Carrie Lyn Noonan, NP-C
- North Campus Surgery Center LLC
- Phillip N. Nouri, D.M.D
- Carly Rose Novelly, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.