Individual
JUSTIN T ST LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1771 E FLAMINGO RD STE 220A, LAS VEGAS, NV 89119-0850
(727) 403-9206
Mailing address
5132 MAPLEWOOD AVE APT 206, LOS ANGELES, CA 90004-1583
(727) 403-9206
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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