Individual
COURTNEY VILLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8150
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021043064
MO
106S00000X
Behavior Technician
RBT-19-105864
MO
Other
Enumeration date
02/09/2020
Last updated
10/26/2021
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