Individual
SANDRA VANTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(573) 424-2948
(573) 874-1723
Mailing address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(573) 424-2948
(573) 874-1723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2017030311
MO
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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