Individual
ELISE G AMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA-LBA
Contact information
Practice address
1078 HEADQUARTERS PARK DR, FENTON, MO 63026-1910
(636) 405-2701
(636) 422-1223
Mailing address
1078 HEADQUARTERS PARK DR, FENTON, MO 63026-1910
(636) 405-2701
(636) 422-1223
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023014031
MO
Other
Enumeration date
05/23/2024
Last updated
11/18/2024
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