Individual
SAMANTHA HEININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11872 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3330
(314) 304-3332
Mailing address
12365 FALAISE DR, CREVE COEUR, MO 63141-7427
(314) 304-3332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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