Active NPI
Karen E Fry, MA, BCBA, LBA
- Behavior Analyst
- Saint Louis, MO
National Provider Identifier
1922367796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2011037276
- Practice address
- 9505 Dorisann CT
Saint Louis, MO 63123-6303 - Phone
- (314) 544-7754
- NPI assigned
- May 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 2011037276 | MO | Primary |
Addresses
Primary practice location
9505 Dorisann CT
Saint Louis, MO 63123-6303
Mailing address
9505 Dorisann CT
Saint Louis, MO 63123-6303
Phone (314) 544-7754
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011037276 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1922367796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9505 DORISANN CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236303",
"telephone_number": "314-544-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9505 DORISANN CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236303",
"telephone_number": "314-544-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "KAREN",
"middle_name": "E",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-14",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2011037276",
"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 Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.