Individual
ERICA LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1218 OAK BOROUGH DR, BALLWIN, MO 63021-8330
(636) 579-2250
(415) 406-3316
Mailing address
1218 OAK BOROUGH DR, BALLWIN, MO 63021-8330
(636) 579-2250
(415) 406-3316
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347658
MO
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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