| Therapy Dads, Llc | |
|
710 Clayworth Dr Ballwin MO 63011-3519 | |
| (573) 201-3155 | |
| Not Available |
| Full Name | Therapy Dads, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 710 Clayworth Dr, Ballwin, Missouri |
| Authorized Official Name and Position | Andrew Chism (OWNER) |
| Authorized Official Contact | 5732013155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Dads, Llc 710 Clayworth Dr Ballwin MO 63011-3519 Ph: (573) 201-3155 | Therapy Dads, Llc 710 Clayworth Dr Ballwin MO 63011-3519 Ph: (573) 201-3155 |
| NPI Number | 1346989472 |
|---|---|
| Provider Enumeration Date | 05/27/2022 |
| Last Update Date | 05/27/2022 |
| Certification Date | 05/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346989472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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