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Individual

DANIELA FONSECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1421 TRIAD CENTER DR, SAINT PETERS, MO 63376-7357
(623) 533-1771
Mailing address
58 WOODLAWN DR, SAINT CHARLES, MO 63301-2325
(623) 533-1771

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74435
MO

Other

Enumeration date
05/30/2023
Last updated
08/12/2024
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