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Organization
EASTER SEALS MIDWEST
Active
Organization
EASTER SEALS MIDWEST
Active
Other names
Judevine Center for Autism
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF ARLEDGE (CHIEF FINANCIAL OFFICER)
(314) 394-7020
Entity
Organization
Contact information
Practice address
11933 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3203
(314) 394-7100
(314) 394-4007
Mailing address
11933 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3203
(314) 394-7100
(314) 394-4007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2205030351
MO
103K00000X
Behavior Analyst
Primary
—
—
104100000X
Social Worker
001967
MO
104100000X
Social Worker
1999140934
MO
224Z00000X
Occupational Therapy Assistant
2010005293
MO
225X00000X
Occupational Therapist
2001015378
MO
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
118073
MO
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852794502
—
MO
Enumeration date
03/09/2007
Last updated
12/05/2025
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