Maleah Brotherton
Individual provider Active NPI Behavior Technician · Olivette, MO
NPI 1730879404 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1730879404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 9374 Olive Blvd Ste 101
Olivette, MO 63132-3253 - Phone
- (314) 932-2402
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
9374 Olive Blvd Ste 101
Olivette, MO 63132-3253
Mailing address
9374 Olive Blvd
Olivette, MO 63132-3267
Phone (314) 932-2402
Other providers in Olivette, MO
- Roneeka Boyd
- Shelby Bridgers
- Jeremy Brog
- Michael D Brooks
- Alicia Christine Broshuis
- Benjamin Robert Brown
- Adrianne Renee Bruckner
- Alexandria Bryant
- Elma Bumbulovic
- Hailey Burke
All providers in Olivette, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.