Organization
ALLIED BEHAVIORAL CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA BUSHDIECKER (ADMINISTRATOR)
(314) 567-5000
Entity
Organization
Contact information
Practice address
11477 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7130
(314) 567-5000
(314) 567-3110
Mailing address
11477 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7130
(314) 567-5000
(314) 567-3110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
12/20/2013
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