Individual provider Active NPI

Allison Lafeber, PLBA

  • Behavior Analyst
  • University City, MO
National Provider Identifier
1730899477
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2022044563 Issued in MO
Practice address
8130 Balson Ave
University City, MO 63130-3607
Phone
(314) 410-9670
Fax
(855) 611-8213
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2022044563 MO Primary

Addresses

Primary practice location

8130 Balson Ave
University City, MO 63130-3607

Mailing address

1445 Willow Brook CV Apt 4
Saint Louis, MO 63146-4966
Phone (314) 630-5889

Other names 1

  • Allison Moehrle Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL @lattherapy.com
Other URL @lattherapy.com

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
2022044563MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen ABA LLC Behavior Analyst CurrentSince Mar 12, 2024 Accepting new patients
Latitude Therapy Solutions LLC PastSince Nov 12, 2023 Accepting new patients

Organizations & group practices 2

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1730899477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WILLOW BROOK CV APT 4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464966",
            "telephone_number": "314-630-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BALSON AVE",
            "city": "UNIVERSITY CITY",
            "state": "MO",
            "postal_code": "631303607",
            "telephone_number": "314-410-9670",
            "fax_number": "855-611-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFEBER",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "PLBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2022044563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@lattherapy.com",
            "affiliation": "N",
            "endpointDescription": "Latitude Therapy company email system between staff members.",
            "address_1": "7510 Delmar Blvd",
            "city": "University City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631303946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@lattherapy.com",
            "affiliation": "N",
            "endpointDescription": "Latitude Therapy company email system between staff members.",
            "address_1": "8130 Balson Ave",
            "city": "University City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631303607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MOEHRLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in University City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.