OrganizationActive
Allied Behavioral Consultants, Inc.
NPI 1366536120 · Psychiatry Physician · Saint Louis, MO
Provider details
- NPI number
- 1366536120
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Bushdiecker, Administrator(314) 567-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11477 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7130
Phone: (314) 567-5000
Fax: (314) 567-3110
Approximate (ZIP-level) locationGet directions
Mailing address
11477 Olde Cabin Rd
Saint Louis, MO 63141-7130
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2013-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.