Experiential Learning Aba LLC
Experiential Learning Aba LLC is a healthcare organization registered as Community/Behavioral Health Agency in Festus, MO, holding Type 2 (organization) NPI 1558993220 since 2020. The authorized official on file is Katherine Petefish, Owne/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558993220 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Experiential Learning Aba LLC |
| Practice address | 201 BRIERTON LN, Festus, MO, 63028 |
| Phone | 3143197098 |
| Fax | 8665919660 |
| Enumeration date | 2020-02-10 |
| Last updated in NPPES | 2022-04-13 |
Authorized official
| Name | Katherine Petefish |
|---|---|
| Title | Owne/Ceo |
| Phone | 3143197098 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Experiential Learning Aba LLC NPI: 1558993220 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 201 BRIERTON LN, Festus, MO, 63028
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164309050 | Sydney Grab | Individual | Behavior Technician | Festus, MO |
Verify this record
Cross-check NPI 1558993220 against the authoritative CMS record: view Experiential Learning Aba LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Experiential Learning Aba LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-04-13.