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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