MEDICARE: ELIZABETH KINSELLA

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	103K00000X	Behavior Analyst	2011040944	MO

General Provider Information

NPI Number	:	1518248145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH KINSELLA

Provider Business Mailing Address
First Line	:	9374 OLIVE BLVD STE 101
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-3253
Country	:	US
Telephone Number	:	314-932-2402
Fax Number	:

Provider Business Practice Location Address
First Line	:	9374 OLIVE BLVD STE 101
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-3253
Country	:	US
Telephone Number	:	314-932-2402
Fax Number	:

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

Provider Enumeration Date	:	09/09/2011
Last Update Date	:	05/18/2020

Similar Medicare Providers

1356340095 — MS. BARBARA BURTON LCSW
Practice Location Address:

9374 OLIVE BLVD , SUITE 202
SAINT LOUIS, MO
63132-3253

Practice Phone: 314-997-5900
Practice Fax: 314-997-5900

1972669760 — FRANCES M. WEINTRAUB MSW
Practice Location Address:

9374 OLIVE BLVD , SUITE 103
SAINT LOUIS, MO
63132-3253

Practice Phone: 314-997-2424
Practice Fax: 314-997-7824

1386773042 — MR. EDWARD MICHAEL KOSLIN MSW
Practice Location Address:

9374 OLIVE BLVD , SUITE 103
SAINT LOUIS, MO
63132-3253

Practice Phone: 314-997-2424
Practice Fax: 314-997-7824

1083827422 — RONALD DICKER INC.
Practice Location Address:

9374 OLIVE BLVD , SUITE 103
SAINT LOUIS, MO
63132-3253

Practice Phone: 636-578-9805
Practice Fax: 314-997-7824

1336354802 — RONALD B DICKER PH.D.
Practice Location Address:

9374 OLIVE BLVD , SUITE 103
SAINT LOUIS, MO
63132-3253

Practice Phone: 636-578-9805
Practice Fax: 314-997-7824

1588931851 — NEW BEGINNINGS CDS
Practice Location Address:

9374 OLIVE BLVD , STE 101
SAINT LOUIS, MO
63132-3253

Practice Phone: 314-993-5580
Practice Fax: 314-991-7745

Directions to “ ELIZABETH KINSELLA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.