Individual provider Active NPI

Erika-Renee White

  • Behavior Technician
  • Ballwin, MO
National Provider Identifier
1699530956
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24327261 Issued in MO
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

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24327261MOMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Ad Astra Autism Centers LLC Behavior Technician CurrentSince Feb 18, 2024 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.

Verify at the official NPI Registry.