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Organization

ESTABLISHING INTERACTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEIRDRE WALKER ABERNATHY PH.D., BCBA, LBA (BEHAVIOR ANALYST)
(314) 479-8083
Entity
Organization

Contact information

Practice address
6190 WASHINGTON BLVD, SAINT LOUIS, MO 63112-1208
(314) 817-6253
Mailing address
6190 WASHINGTON BLVD, SAINT LOUIS, MO 63112-1208
(314) 817-6253

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011003584
MO

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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