Active NPI
Angela Liotta
- Behavior Technician
- Creve Coeur, MO
National Provider Identifier
1639703986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 601 S New Ballas Rd
Creve Coeur, MO 63141-8221 - Phone
- (314) 251-6933
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
601 S New Ballas Rd
Creve Coeur, MO 63141-8221
Mailing address
11514 Craig CT Apt 824
Saint Louis, MO 63146-5290
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1639703986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11514 CRAIG CT APT 824",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631465290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S NEW BALLAS RD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIOTTA",
"first_name": "ANGELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, MO
- Sarah Levins, PHARM.D.
- Life of Comfort Home Care LLC
- Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.
- Xue Lin, MD/PHD
- Andrea Marie Lindquist, DC, MPH
- Bruce Jeffrey Lippmann, MD
- Thomas S Lipsitz, PHD
- Jennifer Renee Listenberger, AUD
- Pamela Ann Loesing, MSW LCSW
- Mariah Lyn Logan, LPC,LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.