Chanyanut Sriprom

Behavior Technician · Jefferson City, MO

Individual Active NPI

NPI number 1063381598

Practice location

1600 Southwest Blvd
Jefferson City, MO 65109-2455
Phone
(888) 515-1793

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NPI record

NPI
1063381598
Entity type
Individual (Type 1)
Enumeration date
November 3, 2025
Last updated
November 3, 2025
Certified
November 3, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

840 S Robberson Ave
Springfield, MO 65806-3888

About Chanyanut Sriprom

Chanyanut Sriprom is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1600 Southwest Blvd, Jefferson City, MO 65109-2455. The NPI number 1063381598 was assigned on November 3, 2025 and the record was last updated on November 3, 2025.

Frequently asked questions

What is the NPI number of Chanyanut Sriprom?

The NPI number is 1063381598.

What is the phone number of Chanyanut Sriprom?

The phone number listed for the practice location is (888) 515-1793.

Where is Chanyanut Sriprom located?

1600 Southwest Blvd, Jefferson City, MO 65109-2455.

What is the taxonomy code for Chanyanut Sriprom?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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