Individual
AAYA KHALIL QONDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 BAUR BLVD, OLIVETTE, MO 63132, OLIVETTE, MO 63132-6307
(314) 528-9509
Mailing address
10975 RIDGECREST DR, SAINT ANN, MO 63074-3439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B160288001
MO
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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