Individual
KATHLEEN A RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2015041722
MO
Other
Enumeration date
12/01/2015
Last updated
02/01/2021
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