Individual
TALIA KAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8130 BALSON AVE, UNIVERSITY CITY, MO 63130-3607
(314) 410-9670
Mailing address
14472 CALLAWAY CT, CHESTERFIELD, MO 63017-2303
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
730082591
—
MO
Enumeration date
11/25/2022
Last updated
11/21/2023
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