MEDICARE: ARIAL RENEE COLLINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-334586	MO
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1295476315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIAL RENEE COLLINS

Provider Business Mailing Address
First Line	:	1430 WASHINGTON AVE STE 229
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63103-2029
Country	:	US
Telephone Number	:	314-970-5755
Fax Number	:

Provider Business Practice Location Address
First Line	:	9180 W FLORISSANT AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63136-1421
Country	:	US
Telephone Number	:	314-372-3420
Fax Number	:	314-372-3415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	02/18/2026

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Directions to “ ARIAL RENEE COLLINS ” Practice Location

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