Individual
JERIN MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 SAINT MADELEINE LN, FLORISSANT, MO 63031-7837
(314) 550-1596
Mailing address
185 SAINT MADELEINE LN, FLORISSANT, MO 63031-7837
(314) 550-1596
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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