Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255849048 Individual Practitioner Female Practitioner

Lisa Ann Flake , ABA

Assistant Behavior Analyst • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Lisa Flake, ABA is a registered healthcare professional specializing in Assistant Behavior Analyst in Saint Louis, MO. Practice services are available at 4444 FOREST PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4444 Forest Park Ave
Ste 2600

Saint Louis, MO 631082212

Telephone 3142861700
Fax 3142861777
Associated Practice Facility / Clinic
🏢 Washington University Facility NPI 1861605271

Specialty Benchmarks & Practice Insights

Comparative analytics for Assistant Behavior Analyst in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Saint Louis, MO (63 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

Assistant Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 106E00000X

State License MO 2018008240

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
730052046 (MO)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Rushaniya Khairova , MD

Psychiatry & Neurology - Psychiatry

NPI 1013243476

Doctor of Medicine (M.D.)

Mary Grace Portell , LPC

Counselor - Professional

NPI 1013286996

Licensed Professional Counselor

NPI 1013944784

Doctor of Psychology (Psy.D.)

Dr. Kelly Botteron , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1013952860

Doctor of Medicine (M.D.)

Dr. Jessica Gold , MD

Psychiatry & Neurology - Psychiatry

NPI 1033538442

Doctor of Medicine (M.D.)

Dr. Jarrod Holiday , MD

Psychiatry & Neurology - Psychiatry

NPI 1033560131

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Business Mailing Address April 25, 2024

Registered at PO BOX 60352, SAINT LOUIS, MO 631600352 (Tel: 3142861700)

📍
Updated Business Mailing Address August 23, 2023

Registered at 660 S EUCLID AVE, CB 8134, SAINT LOUIS, MO 631101010 (Tel: 3142861700)

📍
Updated Business Mailing Address November 15, 2021

Registered at 4511 FOREST PARK AVE, STE 4300, SAINT LOUIS, MO 631082138 (Tel: 3142861700)

📍
Updated Practice Location May 01, 2018

Registered at 4444 FOREST PARK AVE, STE 2600, SAINT LOUIS, MO 631082212 (Tel: 3142861700)

📍
Updated Business Mailing Address May 01, 2018

Registered at 660 S EUCLID AVE, CB 8134, SAINT LOUIS, MO 631101010 (Tel: 3142861700)

👤
Provider Name / Credentials Updated May 01, 2018

Recorded as LISA FLAKE, ABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2018

Assistant Behavior Analyst (License #2018008240 in MO)

👤
Provider Name / Credentials Updated March 19, 2018

Recorded as LISA FLAKE, LMSW, BCABA, LABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2018

Social Worker (License #2016033410 in MO)

NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2018

Registered at 4444 FOREST PARK AVE STE 2600, SUITE 2600, SAINT LOUIS, MO 631082212 (Tel: 3147476759)

📍
Updated Business Mailing Address January 16, 2018

Registered at 660 S EUCLID AVE, CAMPUS BOX 8134, SAINT LOUIS, MO 631101010 (Tel: 3147476759)

👤
Provider Name / Credentials Updated January 16, 2018

Recorded as LISA FLAKE, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Assistant Behavior Analyst (License #0-17-8266 in MO)

🟢
Initial NPI Registration & Enumeration January 16, 2018

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: 1255849048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2018
Last Update: April 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 60352

Saint Louis, MO 631600352

Phone: 3142861700

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.