Individual
MRS. LISA ANNE GILBERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1601 MCQUADE DR, SAINT PETERS, MO 63376-7804
(314) 369-4235
Mailing address
1601 MCQUADE DR, SAINT PETERS, MO 63376-7804
(314) 369-4235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2010043035
MO
Other
Enumeration date
02/08/2011
Last updated
08/18/2014
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