Individual
LORI A BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18384 NAEGER LN, STE GENEVIEVE, MO 63670-9116
(573) 535-8315
Mailing address
1104 CROWN CIR, FESTUS, MO 63028-4166
(573) 535-8315
(314) 200-2167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017004899
MO
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730048655
—
MO
Enumeration date
07/11/2007
Last updated
11/15/2023
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