Howard Park Early Intervention Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

369-8742 Issued in MO

Legal business name

HOWARD PARK EARLY INTERVENTION CENTER

Doing business as

AFA Academy

Practice address

1078 Headquarters Park Dr.
Fenton, MO 63026-1910

Phone

(636) 405-2701

Fax

(636) 422-1223

NPI assigned

Sep 8, 2005

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheila Charlton

Title

Executive Director

Phone

(636) 405-2701

Specialties & licenses 8

Addresses

Other identifiers 7

Other names 1

• AFA Academy Doing business as

Locations

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise G Amo, BCBA, LBA

  • Behavior Analyst
  • Florissant, MO
  • NPI 1366281883
  NPD
• Erika May Benson

  • Behavior Analyst
  • Fenton, MO
  • NPI 1811786247
  NPD
• Abbie Coronado

  • Behavior Analyst
  • Cape Girardeau, MO
  • NPI 1346123015
  NPD
• Brittian Horne

  • Behavior Analyst
  • Fenton, MO
  • NPI 1265108021
  NPD
• Carrie Ahrens, SLP

  • Speech-Language Pathologist
  • Ellisville, MO
  • NPI 1922144112
  NPD (past)
• Olivia Beth Albers

  • Occupational Therapist
  • Ellisville, MO
  • NPI 1225478738
  NPD (past)
• Paula Allison, PT

  • Physical Therapist
  • Ellisville, MO
  • NPI 1730226085
  NPD (past)
• Samantha Jo Bevell

  • Behavior Analyst
  • Columbia, MO
  • NPI 1306401666
  NPD (past)
• Lou Bonastia

  • Speech-Language Pathologist
  • Ellisville, MO
  • NPI 1922147420
  NPD (past)
• Ariana Paulina Carrillo-Jones

  • Behavior Analyst
  • Fenton, MO
  • NPI 1710807755
  NPD (past)
• Donna Margaret Carrillo, MAT

  • Developmental Therapist
  • Ellisville, MO
  • NPI 1194168765
  NPD (past)
• Susan Ceriotti-Gaughan, PT

  • Physical Therapist
  • Ellisville, MO
  • NPI 1689713190
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1396739124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 HEADQUARTERS PARK DR.",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630261910",
            "telephone_number": "636-405-2701",
            "fax_number": "636-422-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 HEADQUARTERS PARK DR.",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630261910",
            "telephone_number": "636-405-2701",
            "fax_number": "636-422-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD PARK EARLY INTERVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2024-05-23",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "636-405-2701"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MO",
            "license": "369-8742",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5859240001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "526870",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50373506",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MISSOURI",
            "identifier": "151235",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "618306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "37482",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "404413",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFA Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Homebound Healthcare LLC
• Cynthia Margaret Hood, OTR
• Kristen Althea Hood, LCSW
• Kelsey Marie Hope
• Brittian Horne
• Laura Howard
• Carrie T Hruza, O.D.
• Kelly Huckstep, OTR/L
• Lori Hugg, MD
• Justin E. Hugo, M.D.

• Voluntary or Charitable Agency in Fenton, MO
• Providers in Fenton, MO by specialty
• Voluntary or Charitable Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.