Individual provider Active NPI

Amanda Michelle O'Mara, BCBA, LBA

  • Behavior Analyst
  • Saint Charles, MO
National Provider Identifier
1508374067
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
2017041229 Issued in MO
Practice address
8 Foxfield CT
Saint Charles, MO 63301-4107
Phone
(636) 706-8732
Fax
(636) 249-1443
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 2017041229 MO Primary

Addresses

Primary practice location

8 Foxfield CT
Saint Charles, MO 63301-4107

Mailing address

8 Foxfield CT
Saint Charles, MO 63301-4107
Phone (636) 706-8732

Other identifiers 2

IdentifierTypeStateIssuer
1-17-27089OtherBACB
2017041229OtherMOLBA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mandi@thebehaviorhelper.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017041229MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavior Helper Academy Behavior Analyst CurrentSince Oct 20, 2024 Accepting new patients
The Behavior Helper Enrichment Center Behavior Analyst CurrentSince Oct 20, 2024 Accepting new patients
The Behavior Helper, LLC Behavior Analyst CurrentSince Jun 14, 2020 Accepting new patients

Locations

3880 Shady Springs Ln
Saint Charles, MO 63301
Phone (636) 493-1344

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1508374067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FOXFIELD CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014107",
            "telephone_number": "636-706-8732",
            "fax_number": "636-249-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FOXFIELD CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014107",
            "telephone_number": "636-706-8732",
            "fax_number": "636-249-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MO",
            "license": "2017041229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-17-27089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBA",
            "identifier": "2017041229",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandi@thebehaviorhelper.org",
            "affiliation": "N",
            "address_1": "8 Foxfield Ct",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633014107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.