Active NPI
Katelyn Freiert
- Behavior Analyst
- Ballwin, MO
National Provider Identifier
1962240523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2018007571
- Practice address
- 14733 Clayton Rd
Ballwin, MO 63011-2660 - Phone
- (314) 339-7732
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2018007571 | MO | Primary |
Addresses
Primary practice location
14733 Clayton Rd
Ballwin, MO 63011-2660
Mailing address
545 Oak Hill Dr
Lake Saint Louis, MO 63367-1401
Phone (636) 751-4154
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018007571 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism and Behavioral Spectrum LLC | 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": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1962240523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 OAK HILL DR",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633671401",
"telephone_number": "636-751-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14733 CLAYTON RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112660",
"telephone_number": "314-339-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREIERT",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2018007571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.