Provider Demographics
NPI:1760838924
Name:AYRES, KATIE ELIZABETH BECHER (MED, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ELIZABETH BECHER
Last Name:AYRES
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12166 OLD BIG BEND RD STE 102
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6836
Mailing Address - Country:US
Mailing Address - Phone:314-626-0306
Mailing Address - Fax:314-272-3974
Practice Address - Street 1:12166 OLD BIG BEND RD STE 102
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-6836
Practice Address - Country:US
Practice Address - Phone:314-626-0306
Practice Address - Fax:314-272-3974
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2016012178103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst