Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487096012 Individual Practitioner Female Practitioner

Katherine A Petefish , LMSW, LCPC, BCBA LBA

Behavior Analyst • Festus, MO

Professional Overview & Biography Verified Profile Summary

Katherine Petefish, LMSW, LCPC, BCBA LBA is a registered healthcare professional specializing in Behavior Analyst in Festus, MO. Practice services are available at 10719 BUCKEYE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10719 Buckeye Rd

Festus, MO 630282960

Telephone 3143197098
Fax 6367899062
Associated Practice Facility / Clinic
🏢 Experiential Learning Aba Llc Facility NPI 1558993220

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Festus, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Festus, MO (1191 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-12
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MO 2015044940

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IL 180009917

Definition to come...

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License IA 11517918

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker

NUCC Taxonomy Code: 104100000X

State License IA 008326

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Practice Locations

171 Roberts Dr

Hillsboro, MO 630504120

Phone: 3142970793

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Sydney Grab

Behavior Technician

NPI 1164309050

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location May 12, 2020

Registered at 10719 BUCKEYE RD, FESTUS, MO 630282960 (Tel: 3143197098)

📍
Updated Business Mailing Address May 12, 2020

Registered at 10719 BUCKEYE RD, FESTUS, MO 630282960 (Tel: 3143197098)

📍
Updated Practice Location February 23, 2018

Registered at 171 ROBERTS DR, HILLSBORO, MO 630504120 (Tel: 3142970793)

📍
Updated Business Mailing Address February 23, 2018

Registered at 171 ROBERTS DR, HILLSBORO, MO 630504120 (Tel: 3142970793)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2018

Behavior Analyst (License #2015044940 in MO)

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

Registered at 800 OLIVE ST, 1201, SAINT LOUIS, MO 631011524 (Tel: 4805441240)

📍
Updated Business Mailing Address January 18, 2017

Registered at 800 OLIVE ST, 1201, SAINT LOUIS, MO 631011524 (Tel: 4805441240)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as KATHERINE PETEFISH, LMSW, LCPC, BCBA LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Counselor (License #180009917 in IL)

NPI Profile Active December 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2015

Registered at 7923 WATER ST, SAINT LOUIS, MO 631113620 (Tel: 4805441240)

📍
Updated Business Mailing Address December 02, 2015

Registered at 7923 WATER ST, SAINT LOUIS, MO 631113620 (Tel: 4805441240)

👤
Provider Name / Credentials Updated December 02, 2015

Recorded as KATHERINE PETEFISH, LMSW, LCPC, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2015

Counselor (License #180009917 in IL)

🟢
Initial NPI Registration & Enumeration July 24, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487096012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2013
Last Update: May 12, 2020
Sole Proprietor: Yes

Mailing Address

10719 Buckeye Rd

Festus, MO 630282960

Phone: 3143197098

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.