Individual
ANDREINA TEJADA DE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
601 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6060
Mailing address
325 M ST, EDWARDSVILLE, IL 62025-1023
(206) 537-6734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/11/2021
Last updated
07/31/2023
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