Individual
JESSICA NICOLE AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
9374 OLIVE BLVD, SAINT LOUIS, MO 63132-3253
(314) 932-2402
Mailing address
8501 TALMA CT, SAINT LOUIS, MO 63123-3633
(314) 707-2733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2018012917
MO
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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