Active NPI
Courtney Deronde, BCBA
- Behavior Analyst
- Saint Louis, MO
National Provider Identifier
1861166258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11780 Borman Dr Ste 400
Saint Louis, MO 63146-4135 - Phone
- (314) 820-0723
- NPI assigned
- Aug 9, 2021
- Last updated
- Sep 25, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | MO | Primary | |
| Behavior Technician | 106S00000X | MO |
Addresses
Primary practice location
11780 Borman Dr Ste 400
Saint Louis, MO 63146-4135
Mailing address
186 S Payne Stewart Dr # 151
Branson, MO 65616-2792
Phone (141) 769-3068
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergent Learning LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1861166258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 S PAYNE STEWART DR # 151",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162792",
"telephone_number": "141-769-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11780 BORMAN DR STE 400",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464135",
"telephone_number": "314-820-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERONDE",
"first_name": "COURTNEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Dermatology Associates, Inc.
- Dermatology Consultants, P.C. (Fred D. Bauschard, M.D.)
- Elizabeth Catherine Dermody
- Jennifer M Derner, LCSW
- Jori Marie Derner, PNP
- Michael J Derosa, M.D.
- Lori Derosear, D.O.
- Edward Justin Derrick, MD
- Paula Jean Deruntz, NP
- Des Peres Eye Surgery Center, LLC (St Louis Eye Surgery and Laser Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.