NPI 1790285732 · live from the CMS NPI Registry
Ellen M Adamo, BCBA
Behavior Analyst in Saint Charles, MO. National Provider Identifier 1790285732, active.
NPI record
| NPI | 1790285732 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3880 Shady Springs Ln, Saint Charles, MO 63301 |
| Practice phone | 636-244-3903 |
| Mailing address | 715 Westwood Dr Apt 2w, Saint Louis, MO 63105 |
| Enumerated | February 16, 2018 |
| Last updated | April 16, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2015022245 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.