Individual
VICTORIA SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7243 AMHERST AVE APT A, UNIVERSITY CITY, MO 63130-3032
(314) 757-7570
Mailing address
7243 AMHERST AVE APT A, UNIVERSITY CITY, MO 63130-3032
(314) 757-7570
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44996
MO
Other
Enumeration date
09/14/2018
Last updated
09/22/2025
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