Provider Demographics
NPI: | 1215758768 |
---|---|
Name: | THE BEHAVIOR HELPER ENRICHMENT CENTER |
Entity type: | Organization |
Organization Name: | THE BEHAVIOR HELPER ENRICHMENT CENTER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | FOUNDER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | AMANDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | O'MARA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BCBA |
Authorized Official - Phone: | 636-706-8732 |
Mailing Address - Street 1: | 8 FOXFIELD CT |
Mailing Address - Street 2: | |
Mailing Address - City: | SAINT CHARLES |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 63301-4107 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 636-706-8732 |
Mailing Address - Fax: | 636-534-1453 |
Practice Address - Street 1: | 300 WATER ST |
Practice Address - Street 2: | |
Practice Address - City: | SAINT CHARLES |
Practice Address - State: | MO |
Practice Address - Zip Code: | 63301-3480 |
Practice Address - Country: | US |
Practice Address - Phone: | 636-493-1344 |
Practice Address - Fax: | 636-534-1453 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-10-17 |
Last Update Date: | 2024-10-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
No | 106E00000X | Behavioral Health & Social Service Providers | Assistant Behavior Analyst | Group - Multi-Specialty | |
No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Multi-Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |