Individual
SPENCER M GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 GRASSO PLZ, SAINT LOUIS, MO 63123-3108
(636) 398-2515
Mailing address
9841 HUNTINGDON LN, SAINT LOUIS, MO 63123-6415
(614) 323-3109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2025050192
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/21/2021
Last updated
11/24/2025
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