Individual
MRS. TAMESHA BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(314) 356-0538
Mailing address
7 CASTLEWOOD CT, SAINT PETERS, MO 63376-2408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2018018571
MO
Other
Enumeration date
02/08/2019
Last updated
12/04/2020
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