Organization
NATIONAL MENTOR SERVICES, LLC
Active
Parent organization
NATIONAL MENTOR SERVICES, LLC
Other names
Missouri Mentor
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL MENTOR SERVICES, LLC
Authorized official
MORGAN KEENCE (BCBA)
(314) 991-7944
Entity
Organization
Contact information
Practice address
11872 WESTLINE INDUSTRIAL DR STE 180, SAINT LOUIS, MO 63146-3331
(314) 991-7944
Mailing address
6067 MEXICO RD, SAINT PETERS, MO 63376-1648
(636) 685-0804
(636) 685-0805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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