Individual
KRYSTLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
650 OFFICE PKWY, CREVE COEUR, MO 63141-7103
(314) 486-2311
Mailing address
8710 EULALIE AVE, BRENTWOOD, MO 63144-2012
(314) 486-2311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012039557
MO
Other
Enumeration date
12/11/2012
Last updated
10/22/2019
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