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STACI ARCHIBALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., PLBA

Contact information

Practice address
14 SOCCER PARK RD, FENTON, MO 63026-2564
(636) 485-5556
Mailing address
312 COUNTRYSHIRE DR, LAKE SAINT LOUIS, MO 63367-5820
(636) 485-5556

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
E173177007
MO

Other

Enumeration date
06/23/2026
Last updated
06/23/2026
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