Zhaquaia Marie Harding

Individual provider Active NPI Behavior Technician · Affton, MO

NPI 1700627437 · NPPES record last updated Jun 5, 2024

Key facts

NPI
1700627437
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-331858
Practice address
96 Grasso PLZ
Affton, MO 63123-3108
Phone
(636) 398-2515
Fax
(800) 687-5070
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Support Now, LLC Current
since Jun 9, 2024
Accepting new patients

Locations

4721 S Cliff Ave
Ste 103
Independence, MO 64055
Phone (816) 381-9090

96 Grasso Plz
Saint Louis, MO 63123
Phone (636) 398-2515

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-331858 Yes

Addresses

Primary practice location

96 Grasso PLZ
Affton, MO 63123-3108

Mailing address

4721 S Cliff Ave Ste 103
Independence, MO 64055-6969
Phone (816) 608-1956

Other providers in Affton, MO

All providers in Affton, MO · Behavior Technician in Missouri

Sources for this page

Verify at the official NPI Registry.