NPI 1245166479 · live from the CMS NPI Registry
Staci Archibald, M.S., PLBA
Behavior Analyst in Fenton, MO. National Provider Identifier 1245166479, active.
NPI record
| NPI | 1245166479 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 14 Soccer Park Rd, Fenton, MO 63026 |
| Practice phone | 636-485-5556 |
| Mailing address | 312 Countryshire Dr, Lake Saint Louis, MO 63367 |
| Enumerated | June 23, 2026 |
| Last updated | June 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | E173177007 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.