MEDICARE: DR. REBECCA BARRON BCBA-D

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	2020007795	MO

General Provider Information

NPI Number	:	1881215259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA BARRON BCBA-D

Provider Business Mailing Address
First Line	:	235 SAINT DANIEL LN
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-6732
Country	:	US
Telephone Number	:	708-557-5496
Fax Number	:

Provider Business Practice Location Address
First Line	:	1716 CORPORATE XING STE 3
Second Line	:
City	:	O FALLON
State	:	IL
Zip	:	62269-3734
Country	:	US
Telephone Number	:	844-854-1116
Fax Number	:

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

Provider Enumeration Date	:	04/27/2020
Last Update Date	:	03/19/2023

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