Individual
ELENA BROCKSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2412
(314) 395-9375
(314) 942-1382
Mailing address
2644 METRO BLVD, MARYLAND HEIGHTS, MO 63043-2412
(314) 395-9375
(314) 942-1382
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022014016
MO
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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