| Rage To Reason | |
|
1000 Edgewater Pt Ste 103 Lake St Louis MO 63367-2954 | |
| (636) 265-1721 | |
| Not Available |
| Full Name | Rage To Reason |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1000 Edgewater Pt Ste 103, Lake St Louis, Missouri |
| Authorized Official Name and Position | Amelia Jean Buie (CEO) |
| Authorized Official Contact | 6364483872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rage To Reason 2314 Highway C Old Monroe MO 63369-2404 Ph: (636) 665-5191 | Rage To Reason 1000 Edgewater Pt Ste 103 Lake St Louis MO 63367-2954 Ph: (636) 265-1721 |
| NPI Number | 1679010094 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679010094 | NPI | - | NPPES |
| 1-05-2152 | Other | MO | BCBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 2011005433 (Missouri) | Primary |
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