Individual
JEREMIAH BATES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 SUNSET OFFICE DR STE 101, SAINT LOUIS, MO 63127-1045
(877) 789-9659
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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