Organization
STILL WATER ABA, LLC
Active
Other names
Still Water ABA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS ANTHONY SCOLARICI III BCBA (OWNER BCBA)
(618) 975-6737
Entity
Organization
Contact information
Practice address
9701 JEFFERSON RD, MASCOUTAH, IL 62258-4203
(618) 975-6737
Mailing address
9701 JEFFERSON RD, MASCOUTAH, IL 62258-4203
(618) 975-6737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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