Individual provider · Type 1 NPI

Kimberly Derque, BCBA

Behavior Analyst · St. Peters, MO

NPI number 1902791973 Active

Practice location

1421 Triad Center Dr
St. Peters, MO 63376-7357

Call (636) 248-7841 Map

Mailing address

4848 Daltrey Ct
St. Louis, MO 63129-1655

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	894991 (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 1902791973

Kimberly Derque, BCBA's National Provider Identifier is 1902791973, issued on Jun 10, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Peters, MO. The record was last updated on Jun 10, 2025.