MEDICARE: PARISS NUNN RBT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RBT-26-536675	OTHER	MO	BACB

General Provider Information

NPI Number	:	1528996261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARISS NUNN RBT

Provider Business Mailing Address
First Line	:	4721 S CLIFF AVE STE 103
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-6969
Country	:	US
Telephone Number	:	816-608-1956
Fax Number	:	800-687-5070

Provider Business Practice Location Address
First Line	:	1346 DINGLEDINE RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63304-7373
Country	:	US
Telephone Number	:	636-398-2500
Fax Number	:	800-687-5070

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

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	06/04/2026

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Directions to “ PARISS NUNN RBT” Practice Location

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