Individual
ASHLEY KOOIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3859 FEE FEE RD, BRIDGETON, MO 63044-2937
(314) 410-9670
Mailing address
9144 DARLENE DR, SAINT LOUIS, MO 63123-4522
(314) 348-4276
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1-26-87972
MO
106S00000X
Behavior Technician
Primary
RBT21181864
MO
Other
Enumeration date
09/23/2021
Last updated
04/02/2026
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