Healthcare Provider Details

I. General information

NPI: 1306687579
Provider Name (Legal Business Name): 99BILLION BETTER BEHAVIOR SUPPORT & LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 EDMAR LN
SAINT LOUIS MO
63138-1714
US

IV. Provider business mailing address

1700 EDMAR LN
SAINT LOUIS MO
63138-1714
US

V. Phone/Fax

Practice location:
  • Phone: 314-219-1790
  • Fax: 314-473-1094
Mailing address:
  • Phone: 314-219-1790
  • Fax: 314-473-1094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: PROF. ANNETTA ANNETTA SYKES
Title or Position: PRESIDENT
Credential: LPC
Phone: 314-614-7062