Staci Archibald, M.S., PLBA
Individual provider Active NPI Behavior Analyst · Fenton, MO
NPI 1245166479 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1245166479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- E173177007 (MO)
- Practice address
- 14 Soccer Park Rd
Fenton, MO 63026-2564 - Phone
- (636) 485-5556
- NPI assigned
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | E173177007 | MO | Yes |
Addresses
Primary practice location
14 Soccer Park Rd
Fenton, MO 63026-2564
Mailing address
312 Countryshire Dr
Lake Saint Louis, MO 63367-5820
Phone (636) 485-5556
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.