| NPI | 1891051108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WEBER Director 314-322-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2011002141) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 106E00000X Assistant Behavior Analyst (Licence: MO 2013022976) | |
| 106S00000X Behavior Technician | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2016-09-29 |