Individual
KIMBERLY SUSAN LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
1852 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(636) 584-3982
Mailing address
101 W ARGONNE DR # 152, KIRKWOOD, MO 63122-4201
(636) 584-3982
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2021041072
MO
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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