Jessie Bue
Individual provider Active NPI Behavior Technician · Saint Robert, MO
NPI 1669068151 · NPPES record last updated Jun 12, 2021
Key facts
- NPI
- 1669068151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 496 Old Route 66
Saint Robert, MO 65584-3728 - Phone
- (573) 246-6164
- NPI assigned
- Dec 18, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
496 Old Route 66
Saint Robert, MO 65584-3728
Mailing address
31 Ellis St
Fort Leonard Wood, MO 65473-1105
Phone (614) 361-3439
Other practice location 1
6441 Spinnaker Dr
Lewis Center, OH 43035-9369
Phone (614) 600-0973
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0346280 | Medicaid | OH |
Other providers in Saint Robert, MO
- Savannah Hope Brock
- Brittany Brown
- Bryce Samuel Brown
- Annette Brownworth
- Kenneth M Buckler
- Crystal Buehre
- Bulding Blocks, ABA Inc.
- Jamie Bullock
- Marty G Burroughs Sr.
- Lauryn Burt
All providers in Saint Robert, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.