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Individual

ABEKU PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7777 BONHOMME AVE STE 1800, CLAYTON, MO 63105-1931
(636) 202-0693
(855) 568-2494
Mailing address
18726 S WESTERN AVE, GARDENA, CA 90248-3813
(310) 856-0800
(855) 568-2494

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
M5E449W03218
MO
Enumeration date
08/31/2021
Last updated
08/31/2021
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