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

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2015022245MOMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Behavior Services, LLC Behavior Analyst Current
since Sep 5, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Saint Charles, MO · Behavior Analyst in Missouri

Sources for this page

Verify at the official NPI Registry.