Individual
KATIE MARIE BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7253 WATSON RD PMB 1524, SAINT LOUIS, MO 63119-4401
(312) 914-0611
Mailing address
7253 WATSON RD PMB 1524, SAINT LOUIS, MO 63119-4401
(312) 914-0611
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/16/2020
Last updated
06/20/2023
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