Individual
ANTONIA RAYE HOESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
(573) 424-2948
Mailing address
7522 BIG BEND BLVD, SAINT LOUIS, MO 63119-2104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2019042917
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431864590
1770879421
MO
01
—
474302986
1235511692
MO
Enumeration date
01/30/2019
Last updated
11/13/2023
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