MS. REBECCA BLACKWELL (NPI# 1689921504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689921504 |
| Entity Type | Individual |
| Full Name | MS. REBECCA BLACKWELL |
| Credential | BCBA |
| Practice Address |
1333 West Lockwood Saint Louis MO 63122-4817 |
| Mailing Address |
112 Holly Drive Saint Louis MO 63119-4639 |
| Practice Telephone | 8007806545 |
| Practice Fax Number | 8885074453 |
| Mailing Telephone | 3147497768 |
| Mailing Fax Number | 8885074453 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 2011007859 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326607839 | Rebecca Ruth Blackwell | Nurse Practitioner | 1301 Medical Pkwy Ste 200, Cedar Park, TX 78613-2529 | 2019-06-08 |
| 1417594102 | Rebecca J Blackwell | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-12-02 |
| 1437191301 | Rebecca Louise Blackwell | Physician Assistant | 538 Broadway, Winnie, TX 77665-7600 | 2006-06-12 |
| 1831158575 | Rebecca Smiley Blackwell | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2006-03-21 |
| Street Address |
1333 WEST LOCKWOOD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828906 | Davis Nicole Norber | Behavioral Analyst | 2 Stacy Dr, Saint Louis, MO 63132-4120 | 2020-10-14 |
| 1598375065 | Heather Ann Kulash | Behavioral Analyst | 3207 Halliday Ave Apt 2e, Saint Louis, MO 63118-1264 | 2020-08-08 |
| 1972135606 | Emergent Learning, LLC | Behavioral Analyst | 2055 Craigshire Rd Ste 390, Saint Louis, MO 63146-4028 | 2020-02-11 |
| 1184268963 | Zenia Ann Roberts | Behavioral Analyst | 1694 S Mason Rd, Saint Louis, MO 63131-1215 | 2019-11-04 |
| 1184272072 | Arkila 360 Degrees Counseling and Consulting Services | Behavioral Analyst | 1400 Russell Blvd, Saint Louis, MO 63104-4384 | 2019-09-03 |
| 1164982054 | Anna Hastings | Behavioral Analyst | 5356 Vernon Ave, Saint Louis, MO 63112-3312 | 2019-03-25 |
| 1659835056 | Antonia Raye Stillpass | Behavioral Analyst | 7522 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2019-01-30 |
| 1316417785 | Shiquita Lynne Lane | Behavioral Analyst | 520 Elizabeth Dr, Saint Louis, MO 63119-4240 | 2018-11-28 |
| 1215459722 | Matthew Page | Behavioral Analyst | 4000 Healy Ct, Saint Louis, MO 63123-7743 | 2017-07-17 |
| 1295261048 | Establishing Interactions | Behavioral Analyst | 6190 Washington Blvd, Saint Louis, MO 63112-1208 | 2017-05-11 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on MS. REBECCA BLACKWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.