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8 Foxfield Ct Saint Charles MO 63301-4107 | |
| (636) 706-8732 | |
| (636) 249-1443 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 8 Foxfield Ct, Saint Charles, Missouri |
| Authorized Official Name and Position | Amanda O'mara (OWNER) |
| Authorized Official Contact | 6367068732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8 Foxfield Ct Saint Charles MO 63301-4107 Ph: (636) 706-8732 | 8 Foxfield Ct Saint Charles MO 63301-4107 Ph: (636) 706-8732 |
| NPI Number | 1790300085 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790300085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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