Keisha Tolliver
Behavior Technician in Saint Louis, MO. Individual provider (NPI-1).
NPI number1871305409
StatusActive
Last updated in NPPESJan 23, 2025
Details
- NPI
- 1871305409
- Entity type
- Individual (NPI-1)
- Name
- Keisha Tolliver
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2025
- Certification date
- Jan 22, 2025
- Last updated
- Jan 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3555 Sunset Office Dr Ste 101Saint Louis, MO 63127-1045
Phone 314-240-2031
Mailing address
8300 Jefferson St Ne Ste BAlbuquerque, NM 87113-1734
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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