Individual
CASSANDRA LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
7049 PERSHING AVE, SAINT LOUIS, MO 63130-4319
(314) 706-1842
Mailing address
1795 PRIMROSE LN, BARNHART, MO 63012-1483
(314) 255-7253
(314) 845-3900
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2017006314
MO
Other
Enumeration date
03/13/2017
Last updated
11/05/2019
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