Missouri's behavioral health provider registry showed 137 total providers in the latest CMS NPI weekly update, representing 1% of the national total. This modest concentration reflects Missouri's position as a mid-sized state market for behavioral health services. The state added 1 provider this week and 38 year-to-date, indicating steady but incremental workforce growth rather than the rapid expansion seen in PE-backed chain markets.
The credential mix reveals a significant supervision gap. Missouri counts 13 BCBAs against 19 RBTs, with 3 providers holding dual BCBA+RBT credentials. This 1:1.5 RBT-to-BCBA ratio signals potential strain on clinical supervision capacity—ideally, each BCBA supervises multiple RBTs, but Missouri's numbers suggest tighter margins. The dominance of LPCs and LCSWs in the "other" category reflects the state's broader reliance on licensed mental health professionals rather than ABA-credentialed staff for behavioral health delivery.
Demographically, the workforce is 87% female and 13% male, consistent with industry-wide gender imbalance in behavioral health roles. 119 individuals and 18 organizations comprise the registry; BAYADA Home Health Care is the only organization appearing multiple times, signaling fragmented provider ownership rather than consolidation by national PE-backed chains active in neighboring states.
Missouri's modest BCBA-to-RBT ratio and limited organizational concentration suggest ABA market penetration lags higher-growth regions, potentially constraining access to specialist-level applied behavior analysis in underserved areas.
