True Colors Aba Consulting Services Llc | |
1035 Shadowoak Dr Ballwin MO 63021-6546 | |
(636) 232-3287 | |
Not Available |
Full Name | True Colors Aba Consulting Services Llc |
---|---|
Speciality | Behavior Analyst |
Location | 1035 Shadowoak Dr, Ballwin, Missouri |
Authorized Official Name and Position | Jennifer C Coffin (OWNER) |
Authorized Official Contact | 6362323287 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
True Colors Aba Consulting Services Llc 1035 Shadowoak Dr Ballwin MO 63021-6546 Ph: (636) 232-3287 | True Colors Aba Consulting Services Llc 1035 Shadowoak Dr Ballwin MO 63021-6546 Ph: (636) 232-3287 |
NPI Number | 1376042036 |
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Provider Enumeration Date | 02/08/2018 |
Last Update Date | 02/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376042036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 2017042980 (Missouri) | Primary |
103K00000X | Behavior Analyst | 2017004343 (Missouri) | Secondary |
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