Provider Demographics
NPI:1447722376
Name:EHNES, AMY MICHELLE (BCBA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:EHNES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1626 CRIMSON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-7888
Mailing Address - Country:US
Mailing Address - Phone:636-980-1678
Mailing Address - Fax:
Practice Address - Street 1:1626 CRIMSON HILLS DR
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-7888
Practice Address - Country:US
Practice Address - Phone:636-980-1678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018018574103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst