Individual
ELISE MARIE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4051 JEFFCO BLVD STE 3, ARNOLD, MO 63010-4261
(163) 622-3007
(636) 323-2042
Mailing address
447 THURWELL ST, HERCULANEUM, MO 63048-1131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021019217
MO
Other
Enumeration date
06/26/2019
Last updated
05/06/2023
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