Individual
MR. NICHOLAS A. MAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPSY, BCBA , LBA
Contact information
Practice address
2815 SHENANDOAH AVE, SAINT LOUIS, MO 63104-2315
(314) 932-1105
(855) 941-4665
Mailing address
2815 SHENANDOAH AVE, SAINT LOUIS, MO 63104-2315
(314) 932-1105
(855) 941-4665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2013044246
MO
174400000X
Specialist
—
—
Other
Enumeration date
11/30/2012
Last updated
07/27/2020
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