Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Community & Long-Term Care Psychiatry LLC

Organization Behavior Analyst · NPI 1528415536

Community & Long-Term Care Psychiatry LLC is a Behavior Analyst 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
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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