# DR. ROBERT CORMIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619426806
- **Gender:** Man
- **Credential:** PHD, BCBA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | 2016035860 | MO | Yes |

## Other

- **Enumeration date:** 09/28/2016
- **Last updated:** 01/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | BACB248779 | BEHAVIOR ANALYSIS CERTIFICATION BOARD - BACB248779 | MO |