Individual
JENNIFER STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 569-2211
Mailing address
1177 N WARSON RD, SAINT LOUIS, MO 63132-1810
(314) 569-2211
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0338035
EARLY CHILDHOOD EDUCATION
MO
Enumeration date
05/16/2016
Last updated
05/16/2016
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