Individual provider · Type 1 NPI

Jennifer Lynn Gannon, PLBA

Behavior Analyst · St. Charles, MO

NPI number 1700699196 Active

Practice location

44 Portwest Ct
St. Charles, MO 63303-5985

Fax (636) 252-4747

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X2025007352 (MO)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1700699196

Jennifer Lynn Gannon, PLBA's National Provider Identifier is 1700699196, issued on Jan 29, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Charles, MO. The record was last updated on Feb 25, 2026.