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Individual

DR. ROBERT CORMIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, BCBA

Contact information

Practice address
716 FRANCIS PL, SAINT LOUIS, MO 63105-2462
(314) 632-6206
(314) 658-9374
Mailing address
716 FRANCIS PL, SAINT LOUIS, MO 63105-2462
(314) 632-6206
(314) 658-9374

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2016035860
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BACB248779
BEHAVIOR ANALYSIS CERTIFICATION BOARD - BACB248779
MO
Enumeration date
09/28/2016
Last updated
01/01/2017
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