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1275023814
LISA ANN LAROSE
CREVE COEUR, MO
NPI
1275023814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MO 2018015025)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
LISA ANN LAROSE M.Ed, BCBA, LBA
650 OFFICE PKWY
CREVE COEUR, MO 63141-7103
Phone number: 314-838-1465
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Mailing Address
LISA ANN LAROSE M.Ed, BCBA, LBA
5821 THOLOZAN AVE
SAINT LOUIS, MO 63109-1437
Phone number: 314-201-0152
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