Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen Johnson, MS, CCC-SLP

Individual provider Behavior Technician · NPI 1851980072

Ellen Johnson, MS, CCC-SLP is a Behavior Technician in Wentzville, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2000 Interstate Dr
Wentzville, MO 63385-4725
Phone: (636) 445-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-6060

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2024027124 (MO)
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-129406 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851980072
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 12, 2021
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address2000 Interstate Dr, Wentzville, MO 63385-4725

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