Individual
MRS. AMANDA E COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 715-3855
Mailing address
2560 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2417
(314) 715-3855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011041436
MO
Other
Enumeration date
08/14/2012
Last updated
01/08/2014
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