MEDICARE: KYESHA ALMONIQUE WILSON BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1275239469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYESHA ALMONIQUE WILSON BCBA

Provider Business Mailing Address
First Line	:	6105 HUNTSVILLE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63120-1315
Country	:	US
Telephone Number	:	314-591-6113
Fax Number	:

Provider Business Practice Location Address
First Line	:	6325 CLAYTON AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-3209
Country	:	US
Telephone Number	:	314-943-1179
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	01/31/2023

Similar Medicare Providers

1427618321 — ERIN SOTTILE
Practice Location Address:

6325 CLAYTON AVE
SAINT LOUIS, MO
63139-3209

Practice Phone: 843-452-6588
Practice Fax:

1760477434 — ST. ANTHONY'S MEDICAL CENTER
Practice Location Address:

12700 SOUTHFORK RD
SAINT LOUIS, MO
63128-3209

Practice Phone: 314-525-4745
Practice Fax: 314-525-1868

1902877012 — DR. CHARLES S MOORE MD
Practice Location Address:

12700 SOUTHFORK RD STE 175
SAINT LOUIS, MO
63128-3209

Practice Phone: 314-525-1798
Practice Fax: 314-525-4469

1225075831 — MR. RICHARD NICHOLAS HUELSING RPT
Practice Location Address:

11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO
63146-3209

Practice Phone: 866-433-9555
Practice Fax:

1598810376 — MONICA ANNE RAINE PTA
Practice Location Address:

11960 WESTLINE INDUSTRIAL DR STE 201
SAINT LOUIS, MO
63146-3209

Practice Phone: 870-404-3944
Practice Fax:

1134251390 — MRS. MARILYN JEANNE KASTNER PAINTER MS CCC SLP
Practice Location Address:

11960 WESTLINE INDUSTRIAL DR , SUITE 201
SAINT LOUIS, MO
63146-3209

Practice Phone: 314-439-1949
Practice Fax: 866-938-9444

Directions to “ KYESHA ALMONIQUE WILSON BCBA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.