Healthcare Provider Details

I. General information

NPI: 1437878329
Provider Name (Legal Business Name): NYSSA QUATMANN MA, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CORPORATE DR
DEXTER MO
63841-9138
US

IV. Provider business mailing address

2022 ALLEN DR
CAPE GIRARDEAU MO
63701-1802
US

V. Phone/Fax

Practice location:
  • Phone: 573-275-1552
  • Fax:
Mailing address:
  • Phone: 573-275-1552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2025019607
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: