Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Community & Long-Term Care Psychiatry LLC

Organization Behavior Analyst · NPI 1528415536

Community & Long-Term Care Psychiatry LLC provides Behavior Analyst services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10004 Kennerly Rd Ste 362B
Saint Louis, MO 63128-2141 Not confirmed with CMS for 10 years — call before visiting
Phone: (314) 849-0450
Fax: (314) 849-0159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 2015002634 (MO)

Record details

NPI number1528415536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Betty Dickerman — Billing Manager · (314) 849-0450
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address10004 Kennerly Rd, Ste 362b, Saint Louis, MO 63128-2141

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