Individual
MYAH JARICE MOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 532-0544
(573) 874-1723
Mailing address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(314) 532-0544
(573) 874-1723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-476948
MO
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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