Organization
HOWARD PARK EARLY INTERVENTION CENTER
Active
Organization
HOWARD PARK EARLY INTERVENTION CENTER
Active
Other names
AFA Academy
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA CHARLTON (EXECUTIVE DIRECTOR)
(636) 405-2701
Entity
Organization
Contact information
Practice address
1078 HEADQUARTERS PARK DR., FENTON, MO 63026-1910
(636) 405-2701
(636) 422-1223
Mailing address
1078 HEADQUARTERS PARK DR., FENTON, MO 63026-1910
(636) 405-2701
(636) 422-1223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
222Z00000X
Orthotist
—
—
225000000X
Orthotic Fitter
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251V00000X
Voluntary or Charitable Agency
Primary
369-8742
MO
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151235
BLUE CROSS OF MISSOURI
MO
01
—
37482
HEALTHCARE USA
MO
01
—
404413
ANTHEM BLUE CROSS
MO
05
—
50373506
—
MO
01
—
526870
HEALTHLINK
MO
01
—
5859240001
MEDICARE PTAN
MO
01
—
618306
ANTHEM BLUE CROSS
—
Enumeration date
09/08/2005
Last updated
05/23/2024
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