| Behavior Therapy Specialists Of Il And Mo, Llc | |
|
126 W Sarah Ave Saint Louis MO 63122-2646 | |
| (314) 252-2069 | |
| (314) 698-2570 |
| Full Name | Behavior Therapy Specialists Of Il And Mo, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 126 W Sarah Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Jenna Dee Cuenca (BEHAVIOR ANALYST/OWNER) |
| Authorized Official Contact | 3142522069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Therapy Specialists Of Il And Mo, Llc 126 W Sarah Ave Saint Louis MO 63122-2646 Ph: (314) 252-2069 | Behavior Therapy Specialists Of Il And Mo, Llc 126 W Sarah Ave Saint Louis MO 63122-2646 Ph: (314) 252-2069 |
| NPI Number | 1720329865 |
|---|---|
| Provider Enumeration Date | 03/14/2013 |
| Last Update Date | 03/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720329865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 111880 (Missouri) | Primary |
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