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NPI Code Detail

MEDICARE: KARA ELBERT BCBA, LBA

MEDICARE:   KARA  ELBERT  BCBA, LBA
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1790672335
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA ELBERT BCBA, LBA
Provider Business Mailing Address
First Line : 1419 COLLINS AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-2127
Country : US
Telephone Number : 314-807-3391
Fax Number :
Provider Business Practice Location Address
First Line : 11933 WESTLINE INDUSTRIAL DR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-3203
Country : US
Telephone Number : 314-789-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 06/18/2025

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Directions to “ KARA ELBERT BCBA, LBA” Practice Location

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