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KIMBERLY DERQUE BCBA
NPI 1902791973
Behavior Analyst in Saint Peters, MO

Active since June 10, 2025
1421 TRIAD CENTER DR, SAINT PETERS, MO 63376(636) 248-7841 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Derque Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DERQUE BCBA (NPI 1902791973) is an individual behavior analyst provider in Saint Peters, Missouri, licensed in Missouri (894991) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1902791973
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKIMBERLY DERQUECredential: BCBA
Location Address1421 TRIAD CENTER DRSaint Peters, MO 63376-7357
Mailing Address4848 Daltrey CtSaint Louis, MO 63129-1655 · (636) 524-2136
Phone(636) 248-7841
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1902791973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MO · 894991
Definition
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.
1421 TRIAD CENTER DR, Saint Peters, MO 63376
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA BURCH PHD
Psychologist (Clinical)
1421 TRIAD CENTER DR
SAINT PETERS, MO 63376
St. Charles County (314) 339-7732
DANIELA FONSECA
Behavior Analyst
1421 TRIAD CENTER DR
SAINT PETERS, MO 63376
St. Charles County (623) 533-1771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Derque's NPI number?

The NPI number for Kimberly Derque is 1902791973. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Kimberly Derque located?

Kimberly Derque practices at 1421 Triad Center Dr, Saint Peters, MO 63376. The listed phone number is (636) 248-7841.

What is Kimberly Derque's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Derque was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.