Elsie Krueger, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

900 Hornet Dr
Hazelwood, MO 63042-2310

Phone

(608) 215-9785

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By 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 1

Addresses

Other names 1

• Elsie Saucedo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1659008530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BLENDON PL",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171807",
            "telephone_number": "608-215-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HORNET DR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422310",
            "telephone_number": "608-215-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "ELSIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELSIE",
            "last_name": "SAUCEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerome Ernst Kock, D.C.
• Gary David Koenig, M.D.
• Shannon Elizabeth Koenig
• Theodore Kremer, M.D.
• Kristy Cobillas LPC LLC (Counseling Associates of Greater St. Louis)
• Ariel L Kuhn
• Natali Ann Kummer, OTR/L
• Delores L Lacey, MSW, LCSW, SAP
• Marissa Lamey, M.ED, LPC, NCC
• David W Landau, MD

• Behavior Analyst in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.