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Individual

MRS. ERYN NICHOLE MINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSE, BCBA, LBA

Contact information

Practice address
15834 CLAYTON ROAD, ELLISVILLE, MO 63011
(636) 227-2339
Mailing address
15834 CLAYTON ROAD, ELLISVILLE, MO 63011

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/27/2013
Last updated
09/16/2014
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