Healthcare Provider Details

I. General information

NPI: 1760838924
Provider Name (Legal Business Name): KATIE ELIZABETH BECHER AYRES M.ED., BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2016
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12166 OLD BIG BEND RD STE 102
KIRKWOOD MO
63122-6836
US

IV. Provider business mailing address

12166 OLD BIG BEND RD STE 102
KIRKWOOD MO
63122-6836
US

V. Phone/Fax

Practice location:
  • Phone: 314-626-0306
  • Fax: 314-272-3974
Mailing address:
  • Phone: 314-626-0306
  • Fax: 314-272-3974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2016012178
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: