Individual provider · Type 1 NPI

Kallie Federhofer

Behavior Analyst · St. Louis, MO

NPI number 1730078080 Active

Practice location

9544 Manchester Rd
St. Louis, MO 63119-1313

Call (573) 203-3699 Map

Mailing address

3621 Marion Ln
Las Cruces, NM 88012-7579

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	2026010665 (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 1730078080

Kallie Federhofer's National Provider Identifier is 1730078080, issued on Jul 1, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Louis, MO. The record was last updated on May 29, 2026.