Individual
OLIVIA WANSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
601 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6933
Mailing address
1390 BRIAR CREEK DR, SAINT CHARLES, MO 63304-2452
(636) 795-8474
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-309954
MO
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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