Individual
MEGAN ANNE DUROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
5232 DELOR ST, SAINT LOUIS, MO 63109-2904
(314) 944-5458
Mailing address
5232 DELOR ST, SAINT LOUIS, MO 63109-2904
(630) 427-7507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-21809
WA
103K00000X
Behavior Analyst
Primary
2023008318
MO
Other
Enumeration date
05/31/2018
Last updated
07/18/2023
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