Individual
MR. MICHAEL SOWA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
5232 DELOR ST, SAINT LOUIS, MO 63109-2904
(314) 944-5458
Mailing address
5232 DELOR ST, SAINT LOUIS, MO 63109-2904
(850) 336-9045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25721
—
Other
Enumeration date
02/02/2017
Last updated
07/18/2023
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