CRISTAL CAMPOCASSO (NPI# 1942790803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942790803 |
| Entity Type | Individual |
| Full Name | CRISTAL CAMPOCASSO |
| Credential | RBT |
| Practice Address |
2 Cityplace Dr Ste 200 Saint Louis MO 63141-7055 |
| Mailing Address |
971 Bentley Park Cir O Fallon MO 63368-8647 |
| Practice Telephone | 3146260306 |
| Mailing Telephone | 3055882425 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MO | Behavioral Health & Social Service Providers |
| Street Address |
2 CITYPLACE DR STE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487807921 | Lenell E Kelley | Behavioral Analyst | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141-7055 | 2008-10-28 |
| 1740801869 | Developing Minds Therapy Services Inc. | Counselor | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141-7055 | 2020-04-29 |
| 1467936963 | Sarah Elizabeth Johnson | Counselor | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141-7055 | 2018-09-20 |
| 1760906812 | Holly Fischer | Behavioral Analyst | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141-7055 | 2017-07-31 |
| 1518487941 | Lenell Kelley | Community/Behavioral Health | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141 | 2017-06-27 |
| 1548654346 | Robin's Angels LLC | In Home Supportive Care | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141-7055 | 2015-03-19 |
| 1841518420 | American Community Services, Inc. | Day Training, Developmentally Disabled Services | 2 Cityplace Dr Ste 200, Saint Louis, MO 63141-7055 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207264 | Kenyatta Dakesha Cole | Behavior Technician | 4889 Kossuth Ave Fl 1, Saint Louis, MO 63115-2107 | 2020-08-26 |
| 1326658527 | Danielle Rose Vaughn | Behavior Technician | 4251 Botanical Ave Apt B, Saint Louis, MO 63110-3520 | 2020-08-03 |
| 1023636412 | Abby Bialeschki | Behavior Technician | 7043 Creekview Trl Apt 204, Saint Louis, MO 63123-2459 | 2020-07-11 |
| 1104449156 | Parker Ryan Light | Behavior Technician | 518 Selma Ave, Saint Louis, MO 63119-4142 | 2020-05-26 |
| 1033738794 | Megan Biscan | Behavior Technician | 7566 Cornell Ave, Saint Louis, MO 63130-2813 | 2020-04-13 |
| 1275163867 | Dex West | Behavior Technician | 4728 Milentz Ave, Saint Louis, MO 63116-1209 | 2020-01-22 |
| 1427696756 | Jamila Moore | Behavior Technician | 3934 Pennsylvania Ave Apt 2fl, Saint Louis, MO 63118-4445 | 2019-12-17 |
| 1376192849 | Michael Stuart Shadwell | Behavior Technician | 3814 Wilmington Ave, Saint Louis, MO 63116-3221 | 2019-09-08 |
| 1710452016 | Fayshia Latise Jones | Behavior Technician | 2912 Arsenal St, Saint Louis, MO 63118-2203 | 2018-10-12 |
| 1235617812 | Khadijah Motley | Behavior Technician | 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 | 2018-08-05 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on CRISTAL CAMPOCASSO.
| 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.