Provider Demographics
NPI:1942968474
Name:ELMS, LINDSEY SHAYNAE
Entity Type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:SHAYNAE
Last Name:ELMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 CENTURY TEL DR
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-1955
Mailing Address - Country:US
Mailing Address - Phone:147-995-7515
Mailing Address - Fax:
Practice Address - Street 1:1151 CENTURY TEL DR
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-1955
Practice Address - Country:US
Practice Address - Phone:147-995-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician