Individual
JACLYN KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA, LPC
Contact information
Practice address
12110 CLAYTON RD STE 220, SAINT LOUIS, MO 63131-2599
(314) 989-8100
Mailing address
1288 APPLE TRAIL CT, FENTON, MO 63026-4201
(636) 579-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
2016003798
MO
Other
Enumeration date
12/16/2013
Last updated
06/09/2021
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