Individual
DR. DALE ALLEN MAXVILLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD BCBA-D
Contact information
Practice address
2743 RUSSELL BLVD, SAINT LOUIS, MO 63104-2137
(573) 864-9743
(573) 874-1723
Mailing address
2743 RUSSELL BLVD, SAINT LOUIS, MO 63104-2137
(573) 864-9743
(573) 874-1723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MO
Other
Enumeration date
12/11/2006
Last updated
06/21/2011
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