| NPI | 1376042036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C COFFIN Owner 636-232-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2017042980) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2017004343) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |