Individual
MRS. STEPHANIE WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
105 SHERIFF DIERKER CT, O FALLON, MO 63366-2468
(636) 978-7785
(636) 978-7885
Mailing address
105 SHERIFF DIERKER CT, O FALLON, MO 63366-2468
(636) 978-7785
(636) 978-7885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012040955
MO
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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