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1932560513
THEA RAE ERVIN
CREVE COEUR, MO
NPI
1932560513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MO 2016003795)
Enumeration Date
2016-03-10
Last Update Date
2016-03-10
Business Address
Ms. THEA RAE ERVIN M.S. ABA, BCBA, LBA
12400 OLIVE BLVD STE 340
CREVE COEUR, MO 63141-5456
Phone number: 314-750-0068
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Mailing Address
Ms. THEA RAE ERVIN M.S. ABA, BCBA, LBA
416 N 23RD ST APT 513
SAINT LOUIS, MO 63103-1547
Phone number: 270-997-1470
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