NPIMap

Organization Active NPI

Behavior Therapy Specialists of Il and Mo, LLC

  • Behavior Analyst
  • Saint Louis, MO
National Provider Identifier
1720329865
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
111880 Issued in MO
Legal business name
BEHAVIOR THERAPY SPECIALISTS OF IL AND MO, LLC
Practice address
126 W Sarah Ave
Saint Louis, MO 63122-2646
Phone
(314) 252-2069
Fax
(314) 698-2570
NPI assigned
Mar 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Jenna Dee Cuenca, BCBA
Title
Behavior Analyst/Owner
Phone
(314) 252-2069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 111880 MO Primary

Addresses

Primary practice location

126 W Sarah Ave
Saint Louis, MO 63122-2646

Mailing address

126 W Sarah Ave
Saint Louis, MO 63122-2646
Phone (314) 252-2069

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1720329865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W SARAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222646",
            "telephone_number": "314-252-2069",
            "fax_number": "314-698-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W SARAH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631222646",
            "telephone_number": "314-252-2069",
            "fax_number": "314-698-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR THERAPY SPECIALISTS OF IL AND MO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "CUENCA",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST/OWNER",
        "authorized_official_telephone_number": "314-252-2069",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "111880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.