MEDICARE: SIERRA NICHOLE WEBER

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	1-21-48900	MO

General Provider Information

NPI Number	:	1407427586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA NICHOLE WEBER

Provider Business Mailing Address
First Line	:	252 COUNTRYSHIRE DR
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-5822
Country	:	US
Telephone Number	:	210-884-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 COUNTRYSHIRE DR
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-5822
Country	:	US
Telephone Number	:	210-884-3338
Fax Number	:

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

Provider Enumeration Date	:	07/08/2021
Last Update Date	:	07/08/2021

Similar Medicare Providers

1972559532 — AMERICAN MULTISPECIALTY GROUP INC.
Practice Location Address:

555 MARYVILLE UNIVERSITY DR STE 240
SAINT LOUIS, MO
63141-5822

Practice Phone: 314-851-1000
Practice Fax: 314-851-4445

1740591494 — MICHELLE GOETZ D.O.
Practice Location Address:

555 MARYVILLE UNIVERSITY DR STE 240
SAINT LOUIS, MO
63141-5822

Practice Phone: 314-373-2675
Practice Fax: 314-851-4445

1770990541 — HARMONY IN-HOME HEALTHCARE SERVICE INC.
Practice Location Address:

5822 S GRAND BLVD FL 1
SAINT LOUIS, MO
63111-2305

Practice Phone: 314-752-4444
Practice Fax: 314-752-4451

1699219279 — GUARDIAN ANGEL HEALTH CARE, INC
Practice Location Address:

5822 S GRAND BLVD FL 1
SAINT LOUIS, MO
63111-2305

Practice Phone: 314-685-5048
Practice Fax:

1427624402 — TRACEY M BOONE
Practice Location Address:

4675 HEIDELBERG AVE
SAINT LOUIS, MO
63123-5822

Practice Phone: 314-448-3899
Practice Fax:

1154279776 — TOMERO FREDALE MCCLENTON
Practice Location Address:

4647 HEIDELBERG AVE
SAINT LOUIS, MO
63123-5822

Practice Phone: 573-620-0976
Practice Fax:

Directions to “ SIERRA NICHOLE WEBER ” 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.