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Organization
BEHAVIORAL HEALTH AT HOME, LLC
Active
Organization
BEHAVIORAL HEALTH AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN BAUMAN LCSW, BCBA (OWNER)
(573) 535-8315
Entity
Organization
Contact information
Practice address
17375 STATE RTE N, SAINT MARY, MO 63673-9031
(573) 535-8315
(314) 200-2167
Mailing address
17375 STATE RTE N, SAINT MARY, MO 63673-9031
(573) 535-8315
(314) 200-2167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730048655
—
MO
Enumeration date
01/02/2019
Last updated
12/26/2023
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