Individual
MRS. MICHELLE BOHNAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 605-8026
Mailing address
1343 KROEGER DR, SAINT LOUIS, MO 63135-2233
(314) 605-8026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021009167
MO
103K00000X
Behavior Analyst
—
MO
Other
Enumeration date
03/05/2021
Last updated
03/22/2021
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