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Organization
BEHAVIOR THERAPY SPECIALISTS OF IL AND MO, LLC
Active
Organization
BEHAVIOR THERAPY SPECIALISTS OF IL AND MO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA DEE CUENCA BCBA (BEHAVIOR ANALYST/OWNER)
(314) 252-2069
Entity
Organization
Contact information
Practice address
126 W SARAH AVE, SAINT LOUIS, MO 63122-2646
(314) 252-2069
(314) 698-2570
Mailing address
126 W SARAH AVE, SAINT LOUIS, MO 63122-2646
(314) 252-2069
(314) 698-2570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
111880
MO
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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