Active NPI
Erika-Renee White
- Behavior Technician
- Ballwin, MO
National Provider Identifier
1699530956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24327261
- Practice address
- 1218 Oak Borough Dr
Ballwin, MO 63021-8330 - Phone
- (636) 579-2250
- NPI assigned
- Feb 15, 2024
- 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 Technician | 106S00000X | 24327261 | MO | Primary |
Addresses
Primary practice location
1218 Oak Borough Dr
Ballwin, MO 63021-8330
Mailing address
1972 Innerbelt Business Center Dr
Overland, MO 63114-5760
Phone (314) 649-7776
Other practice location 1
1972 Innerbelt Business Center Dr
Overland, MO 63114-5760
Phone (314) 649-7776
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24327261 | MO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ad Astra Autism Centers LLC | Behavior Technician | Current | Accepting new patients |
Locations
1972 Innerbelt Business Center Dr
Overland, MO 63114
Phone (314) 202-4002
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1699530956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1972 INNERBELT BUSINESS CENTER DR",
"city": "OVERLAND",
"state": "MO",
"postal_code": "631145760",
"telephone_number": "314-649-7776",
"fax_number": "415-406-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 OAK BOROUGH DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630218330",
"telephone_number": "636-579-2250"
}
],
"practiceLocations": [
{
"address_1": "1972 Innerbelt Business Center Dr",
"address_purpose": "LOCATION",
"city": "Overland",
"state": "MO",
"postal_code": "631145760",
"country_code": "US",
"telephone_number": "314-649-7776",
"fax_number": "415-406-3316",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "ERIKA-RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": "24327261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.