Organization
BEHAVIORAL HEALTH AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN BAUMAN LCSW, BCBA (OWNER)
(573) 535-8315
Entity
Organization
Contact information
Practice address
17375 STATE RTE N, SAINT MARY, MO 63673-9031
(573) 535-8315
(314) 200-2167
Mailing address
17375 STATE RTE N, SAINT MARY, MO 63673-9031
(573) 535-8315
(314) 200-2167
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730048655
—
MO
Enumeration date
01/02/2019
Last updated
12/26/2023
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