MEDICARE: KATIE ELIZABETH BECHER AYRES M.ED., BCBA, LBA

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	2016012178	MO

General Provider Information

NPI Number	:	1760838924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE ELIZABETH BECHER AYRES M.ED., BCBA, LBA

Provider Business Mailing Address
First Line	:	12166 OLD BIG BEND RD STE 102
Second Line	:
City	:	KIRKWOOD
State	:	MO
Zip	:	63122-6836
Country	:	US
Telephone Number	:	314-626-0306
Fax Number	:	314-272-3974

Provider Business Practice Location Address
First Line	:	12166 OLD BIG BEND RD STE 102
Second Line	:
City	:	KIRKWOOD
State	:	MO
Zip	:	63122-6836
Country	:	US
Telephone Number	:	314-626-0306
Fax Number	:	314-272-3974

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

Provider Enumeration Date	:	05/06/2016
Last Update Date	:	11/05/2025

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