Active NPI
Kallie Federhofer
- Behavior Analyst
- Saint Louis, MO
National Provider Identifier
1730078080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2026010665
- Practice address
- 9544 Manchester Rd
Saint Louis, MO 63119-1313 - Phone
- (573) 203-3699
- NPI assigned
- Jul 1, 2025
- 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 Analyst | 103K00000X | 2026010665 | MO | Primary |
Addresses
Primary practice location
9544 Manchester Rd
Saint Louis, MO 63119-1313
Mailing address
3621 Marion LN
Las Cruces, NM 88012-7579
Phone (575) 520-6074
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 |
|---|---|---|---|
| 2026010665 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1730078080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 MARION LN",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880127579",
"telephone_number": "575-520-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9544 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191313",
"telephone_number": "573-203-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDERHOFER",
"first_name": "KALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2026010665",
"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 May 29, 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.