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Organization

EXPERIENTIAL LEARNING ABA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE PETEFISH (OWNE/CEO)
(314) 319-7098
Entity
Organization

Contact information

Practice address
201 BRIERTON LN, FESTUS, MO 63028-1946
(314) 319-7098
(866) 591-9660
Mailing address
201 BRIERTON LN, FESTUS, MO 63028-1946
(314) 319-7098
(866) 591-9660

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/10/2020
Last updated
04/13/2022
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