Healthcare Provider Details

I. General information

NPI: 1790952158
Provider Name (Legal Business Name): GREAT STRIDES BEHAVIORAL CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 08/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 METRO BLVD
MARYLAND HEIGHTS MO
63043-2417
US

IV. Provider business mailing address

2560 METRO BLVD
MARYLAND HEIGHTS MO
63043-2417
US

V. Phone/Fax

Practice location:
  • Phone: 314-715-3855
  • Fax: 314-447-6520
Mailing address:
  • Phone: 314-715-3855
  • Fax: 314-447-6520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY R. LEUTHAUSER
Title or Position: CEO
Credential: BCBA, LBA
Phone: 636-841-1482