Active NPI
Emilia Ruth Tracy, MA, BCBA, LBA
- Behavior Analyst
- O Fallon, MO
National Provider Identifier
1790269405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001937
- Practice address
- 2167 W Terra LN
O Fallon, MO 63366-2366 - Phone
- (573) 594-5703
- NPI assigned
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Developmental Disabilities Clinic/Center
- Madison Heights, MI
- NPI 1790110187
-
- Behavior Analyst
- Saint Clair Shores, MI
- NPI 1093445900
-
- Speech-Language Pathologist
- Saint Clair Shores, MI
- NPI 1407573942
Behavior Analyst
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)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lumen Pediatric Therapy, LLC | Behavior Analyst | Past | Accepting new patients |
| Lumen Pediatric Therapy, LLC | Behavior Analyst | Past | Accepting new patients |
| Healing Haven, LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401001937 | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2167 W Terra LN
O Fallon, MO 63366-2366
Mailing address
2167 W Terra LN
O Fallon, MO 63366-2366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2026.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1790269405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2167 W TERRA LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2167 W TERRA LN",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662366",
"telephone_number": "573-594-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "EMILIA",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "MA, BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "7401001937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.