Individual
CHRISTINA BOURBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, PLBA
Contact information
Practice address
11140 S TOWNE SQ STE 100, SAINT LOUIS, MO 63123-7830
(314) 845-3900
(314) 845-3901
Mailing address
11140 S TOWNE SQ STE 100, SAINT LOUIS, MO 63123-7830
(314) 845-3900
(314) 845-3901
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
2019006849
MO
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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