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Organization
MAXVILLE & ASSOCIATES
Active
Organization
MAXVILLE & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE ALLEN MAXVILLE JR. PHD, BCBA-D, LBA (OWNER)
(573) 864-9743
Entity
Organization
Contact information
Practice address
5900 GALLI LN, COLLINSVILLE, IL 62234-5836
(573) 864-9743
(636) 245-2102
Mailing address
5900 GALLI LN, COLLINSVILLE, IL 62234-5836
(573) 864-9743
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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