Individual
MRS. THERESA AILEEN STROTHKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 569-2211
(314) 569-0778
Mailing address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 569-2211
(314) 569-0778
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11211754
MO
222Q00000X
Developmental Therapist
11211754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11211754
LICENSE
MO
Enumeration date
04/18/2013
Last updated
04/18/2013
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