Wellformed AI

NPI 1235925496 · live from the CMS NPI Registry

Behavior Analysis & Support, LLC

Behavior Analyst in Marble Hill, MO. National Provider Identifier 1235925496, active.

NPI record

NPI1235925496 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location107 Church St, Marble Hill, MO 63764
Practice phone573-238-6785
EnumeratedApril 15, 2025
Last updatedApril 15, 2025
Authorized officialChelsea Baker, Owner/Manager

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—
Speech-Language Pathologist, 235Z00000X—
Clinic/Center261Q00000X—
Clinic/Center, Adult Day Care261QA0600X—
Clinic/Center, Developmental Disabilities261QD1600X—
Clinic/Center, Physical Therapy261QP2000X—
Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child385HR2060X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.