Healthcare Provider Details

I. General information

NPI: 1881501120
Provider Name (Legal Business Name): JANISGAIL JENNIFER LEE ROBINSON RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER ROBINSON RBT

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 STATE ROAD V
DE SOTO MO
63020-5130
US

IV. Provider business mailing address

3565 STATE ROAD V
DE SOTO MO
63020-5130
US

V. Phone/Fax

Practice location:
  • Phone: 636-287-2685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: