Individual
MICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
14 SOCCER PARK RD, FENTON, MO 63026-2564
(314) 793-6087
(314) 845-3901
Mailing address
14 SOCCER PARK RD, FENTON, MO 63026-2564
(314) 793-6087
(314) 845-3901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT21178397
MO
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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