| Behavioral Health At Home, Llc | |
|
17375 State Rte N Saint Mary MO 63673-9031 | |
| (573) 535-8315 | |
| (314) 200-2167 |
| Full Name | Behavioral Health At Home, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 17375 State Rte N, Saint Mary, Missouri |
| Authorized Official Name and Position | Lori Ann Bauman (OWNER) |
| Authorized Official Contact | 5735358315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health At Home, Llc 17375 State Rte N Saint Mary MO 63673-9031 Ph: (573) 535-8315 | Behavioral Health At Home, Llc 17375 State Rte N Saint Mary MO 63673-9031 Ph: (573) 535-8315 |
| NPI Number | 1235602285 |
|---|---|
| Provider Enumeration Date | 01/02/2019 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235602285 | NPI | - | NPPES |
| 730048655 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |