Healthcare Provider Details

I. General information

NPI: 1386560225
Provider Name (Legal Business Name): MADHVI BISHT RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 FORTRESS CT
SAINT CHARLES MO
63303-3892
US

IV. Provider business mailing address

491 FORTRESS CT
SAINT CHARLES MO
63303-3892
US

V. Phone/Fax

Practice location:
  • Phone: 314-359-1058
  • Fax:
Mailing address:
  • Phone: 314-359-1058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-548719
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: