Organization
ABA VILLAGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN SOWA II MS, BCBA (CO-OWNER/OPERATOR)
(314) 944-5458
Entity
Organization
Contact information
Practice address
5232 DELOR ST, SAINT LOUIS, MO 63109-2904
(314) 944-5458
Mailing address
5232 DELOR ST, SAINT LOUIS, MO 63109-2904
(314) 944-5458
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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