Individual
KORTNEY FAUNTLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3555 SUNSET OFFICE DR STE 101, SAINT LOUIS, MO 63127-1045
(770) 655-5928
Mailing address
2259 FLORDAWN DR APT 5, FLORISSANT, MO 63031-8750
(770) 655-5928
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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