Christa L Becherer

Individual provider Active NPI Behavior Analyst · O Fallon, IL

NPI 1770085672 · NPPES record last updated Mar 6, 2018

Key facts

NPI
1770085672
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
634 N Main St Ste 4
O Fallon, IL 62269-3746
Phone
(618) 726-5870
NPI assigned
Mar 6, 2018
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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

634 N Main St Ste 4
O Fallon, IL 62269-3746

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other providers in O Fallon, IL

All providers in O Fallon, IL · Behavior Analyst in Illinois

Sources for this page

Verify at the official NPI Registry.