Ellen M Adamo, BCBA
Individual provider Active NPI Behavior Analyst · Saint Charles, MO
NPI 1790285732 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1790285732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 2015022245 (MO)
- Practice address
- 3880 Shady Springs LN
Saint Charles, MO 63301-4126 - Phone
- (636) 244-3903
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015022245 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Behavior Services, LLC | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2015022245 | MO | Yes |
Addresses
Primary practice location
3880 Shady Springs LN
Saint Charles, MO 63301-4126
Mailing address
715 Westwood Dr Apt 2W
Saint Louis, MO 63105-2794
Phone (617) 308-0784
Other practice location 1
715 Westwood Dr Apt 2W
Saint Louis, MO 63105-2794
Phone (617) 308-0784
Other providers in Saint Charles, MO
- Abide Home Health LLC
- Able Chiropractic Arts, PC
- Above and Beyond ABA Mo LLC
- Todd Abramczyk
- Adam Morgan Foundation
- Daniel Adamovsky
- Lisa Ann Adams
- Nadira Adil
- Adio Family Chiropractic, LLC
- Adoreu Healthcare Services LLC
All providers in Saint Charles, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. 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.